Pediatric Dentistry For Infants Children & Teens Pc in Lithonia - Pediatric Dentistry
Pediatric Dentistry For Infants Children & Teens Pc - NPI 1891758991
Pediatric Dentistry For Infants Children & Teens Pc is a Pediatric Dentistry in Lithonia, Georgia. Pediatric Dentistry For Infants Children & Teens Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dentistry For Infants Children & Teens Pc is 1891758991. The last update date is 2008-07-10.
Pediatric Dentistry For Infants Children & Teens Pc's current location address is 7215 Stonecrest Parkway, Lithonia, Georgia. You can contact this provider via phone number 7704824661. The mailing address for Pediatric Dentistry For Infants Children & Teens Pc is 7215 Stonecrest Parkway, Lithonia, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dentistry For Infants Children & Teens Pc |
|---|---|
| Address | 7215 Stonecrest Parkway, Lithonia, Georgia |
| Phone Number | 7704824661 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Miller R Wayne |
| Credentials | DMD |
| Telephone Number | 7704824661 |
NPI Number Detail
| NPI Number | 1891758991 |
|---|---|
| Provider Enumeration Date | 2006-04-10 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 7215 Stonecrest Parkway |
|---|---|
| City | Lithonia |
| State | Georgia (GA) |
| Post Code | 30038 |
| Phone Number | 7704824661 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique identifier code issued to Pediatric Dentistry For Infants Children & Teens Pc by the Centers for Medicare & Medicaid Services?
The Pediatric Dentistry For Infants Children & Teens Pc has been assigned the NPI (National Provider Identifier) 1891758991. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Pediatric Dentistry For Infants Children & Teens Pc's physical address?
The Pediatric Dentistry For Infants Children & Teens Pc is physically located at 7215 Stonecrest Parkway, in the city of Lithonia, GA, with the postal code 30038.
What is Pediatric Dentistry For Infants Children & Teens Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pediatric Dentistry For Infants Children & Teens Pc is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
When did Pediatric Dentistry For Infants Children & Teens Pc receive its 1891758991 assignment?
The Pediatric Dentistry For Infants Children & Teens Pc was assigned its 1891758991 on 2006-04-10, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Pediatric Dentistry For Infants Children & Teens Pc last refreshed?
The information related to the Pediatric Dentistry For Infants Children & Teens Pc, including its address, specialty, and other relevant details, was last updated on 2008-07-10.