| Sweet Maple Pediatric Dentistry Pc | |
|
56 Hawkins Ln Jefferson GA 30549-5476 | |
| (770) 653-3740 | |
| Not Available |
| Full Name | Sweet Maple Pediatric Dentistry Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 56 Hawkins Ln, Jefferson, Georgia |
| Authorized Official Name and Position | Kayla A Newton (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7706533740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweet Maple Pediatric Dentistry Pc 3251 Lost Meadows Ln Buford GA 30519-8451 Ph: (770) 653-3740 | Sweet Maple Pediatric Dentistry Pc 56 Hawkins Ln Jefferson GA 30549-5476 Ph: (770) 653-3740 |
| NPI Number | 1639899065 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 08/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639899065 | NPI | - | NPPES |
| 1922462613 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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