My Kidz Dentist, Pc in Newnan - Pediatric Dentistry
My Kidz Dentist, Pc - NPI 1154598712
My Kidz Dentist, Pc is a Pediatric Dentistry in Newnan, Georgia. My Kidz Dentist, Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for My Kidz Dentist, Pc is 1154598712. The last update date is 2008-05-13.
My Kidz Dentist, Pc's current location address is 1741 Newnan Crossing Blvd E, Newnan, Georgia. You can contact this provider via phone number 7702534488 and fax number 7702534498. The mailing address for My Kidz Dentist, Pc is 1741 Newnan Crossing Blvd E, Newnan, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | My Kidz Dentist, Pc |
|---|---|
| Address | 1741 Newnan Crossing Blvd E, Newnan, Georgia |
| Phone Number | 7702534488 |
| Fax Number | 7702534498 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bibbs Lona |
| Credentials | D.D.S. |
| Telephone Number | 7702534488 |
NPI Number Detail
| NPI Number | 1154598712 |
|---|---|
| Provider Enumeration Date | 2008-05-13 |
| Last Updated Date | 2008-05-13 |
Provider Mailing Address Detail
| Address | 1741 Newnan Crossing Blvd E |
|---|---|
| City | Newnan |
| State | Georgia (GA) |
| Post Code | 302651599 |
| Phone Number | 7702534488 |
| Fax Number | 7702534498 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DN013160 |
|
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 10-digit identifier code issued to My Kidz Dentist, Pc by the Centers for Medicare & Medicaid Services?
The My Kidz Dentist, Pc has been assigned the NPI (National Provider Identifier) 1154598712 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the My Kidz Dentist, Pc located?
The My Kidz Dentist, Pc is located at 1741 Newnan Crossing Blvd E, Newnan, GA 302651599.
What is My Kidz Dentist, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The My Kidz Dentist, Pc's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154598712 to My Kidz Dentist, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1154598712 to My Kidz Dentist, Pc on 2008-05-13.
When was the information regarding My Kidz Dentist, Pc most recently updated?
The details pertaining to the My Kidz Dentist, Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-05-13.