| Pediatric Dental Specialists Of Georgia, Pc | |
|
315 W Ponce De Leon Ave Ste 200 Decatur GA 30030-2483 | |
| (404) 381-1840 | |
| (404) 341-9488 |
| Full Name | Pediatric Dental Specialists Of Georgia, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 315 W Ponce De Leon Ave Ste 200, Decatur, Georgia |
| Authorized Official Name and Position | Laneshia Camp (OFFICER) |
| Authorized Official Contact | 4048226865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Specialists Of Georgia, Pc 315 W Ponce De Leon Ave Ste 200 Decatur GA 30030-2483 Ph: (404) 381-1840 | Pediatric Dental Specialists Of Georgia, Pc 315 W Ponce De Leon Ave Ste 200 Decatur GA 30030-2483 Ph: (404) 381-1840 |
| NPI Number | 1346990108 |
|---|---|
| Provider Enumeration Date | 03/25/2022 |
| Last Update Date | 03/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346990108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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