| Young Smiles Dentistry For Kids | |
|
4150 Macland Rd Suite 205 Powder Springs GA 30127-1202 | |
| (770) 222-1344 | |
| Not Available |
| Full Name | Young Smiles Dentistry For Kids |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4150 Macland Rd, Powder Springs, Georgia |
| Authorized Official Name and Position | Kevin R Jackson (DENTIST) |
| Authorized Official Contact | 7702221344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Smiles Dentistry For Kids 4150 Macland Rd Suite 205 Powder Springs GA 30127-1202 Ph: (770) 222-1344 | Young Smiles Dentistry For Kids 4150 Macland Rd Suite 205 Powder Springs GA 30127-1202 Ph: (770) 222-1344 |
| NPI Number | 1174832802 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 09/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174832802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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