Childrens Dentistry Of Lithonia Llc in Stone Mountain - Dental
Childrens Dentistry Of Lithonia Llc - NPI 1730348210
Childrens Dentistry Of Lithonia Llc is a Dental in Stone Mountain, Georgia. Childrens Dentistry Of Lithonia Llc practices all healthcare services and medical treatments related to Dental. The NPI Number for Childrens Dentistry Of Lithonia Llc is 1730348210. The last update date is 2008-06-09.
Childrens Dentistry Of Lithonia Llc's current location address is Po Box 870272, Stone Mountain, Georgia. You can contact this provider via phone number 7704694192 and fax number 7704694195. The mailing address for Childrens Dentistry Of Lithonia Llc is Po Box 870272, Stone Mountain, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Childrens Dentistry Of Lithonia Llc |
|---|---|
| Address | Po Box 870272, Stone Mountain, Georgia |
| Phone Number | 7704694192 |
| Fax Number | 7704694195 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Tewogbade Olushola Adesegun |
| Credentials | DMD |
| Telephone Number | 7704694192 |
NPI Number Detail
| NPI Number | 1730348210 |
|---|---|
| Provider Enumeration Date | 2008-06-09 |
| Last Updated Date | 2008-06-09 |
Provider Mailing Address Detail
| Address | Po Box 870272 |
|---|---|
| City | Stone Mountain |
| State | Georgia (GA) |
| Post Code | 300870007 |
| Phone Number | 7704694192 |
| Fax Number | 7704694195 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | DN013400 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1952449944 | INDIVIDUAL NPI | ||
| 853805701A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Childrens Dentistry Of Lithonia Llc by the Centers for Medicare & Medicaid Services?
The Childrens Dentistry Of Lithonia Llc has been assigned the NPI (National Provider Identifier) 1730348210. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Childrens Dentistry Of Lithonia Llc?
The Childrens Dentistry Of Lithonia Llc is situated at Po Box 870272, in the city of Stone Mountain, state of GA, with the zip code 300870007.
What is the Childrens Dentistry Of Lithonia Llc's area of specialization and corresponding taxonomy classification?
The Childrens Dentistry Of Lithonia Llc's specialty field is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1730348210 to Childrens Dentistry Of Lithonia Llc?
The Centers for Medicare & Medicaid Services assigned the 1730348210 to Childrens Dentistry Of Lithonia Llc on 2008-06-09.
When was the information regarding Childrens Dentistry Of Lithonia Llc most recently updated?
The details pertaining to the Childrens Dentistry Of Lithonia Llc, including its address, specialty, and other relevant information, were last refreshed on 2008-06-09.
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