Pediatric Dentistry | |
10475 Medlock Bridge Rd 501 Johns Creek GA 30097-4433 | |
(678) 822-9818 | |
(678) 822-9820 |
Full Name | Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 10475 Medlock Bridge Rd, Johns Creek, Georgia |
Authorized Official Name and Position | James Hicks (OWERN/DENTIST) |
Authorized Official Contact | 6788229818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pediatric Dentistry 10475 Medlock Bridge Rd 501 Johns Creek GA 30097-4433 Ph: (678) 822-9818 | Pediatric Dentistry 10475 Medlock Bridge Rd 501 Johns Creek GA 30097-4433 Ph: (678) 822-9818 |
NPI Number | 1538506720 |
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Provider Enumeration Date | 05/28/2013 |
Last Update Date | 05/28/2013 |
Identifier | Type | State | Issuer |
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1538506720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DN013896 (Georgia) | Primary |
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Shawn A. Walls, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 Medlock Bridge Rd., Suite 202, Johns Creek, GA 30097 Phone: 770-813-0079 Fax: 770-814-7407 | |
Ideal Dental Johns Creek Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5855 State Bridge Rd, Ste 300, Johns Creek, GA 30097 Phone: 470-338-5356 | |
Georgia Dental Professionals, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9925 Haynes Bridge Rd, Johns Creek, GA 30022 Phone: 470-297-6700 |