Individual provider · Type 1 NPI
Travis K. Kimathi, DDS
Pediatric Dentistry · Woodstock, GA
NPI number
1053590331
Active
Practice location
375 Parkway 575, #100
Woodstock, GA 30188-6439
Fax (770) 592-0636
Mailing address
1821 Monroe Dr NE
Atlanta, GA 30324-5007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 019.027117 (IL) |
| Pediatric Dentistry Primary | 1223P0221X | DN013750 (GA) |
Pediatric Dentistry: 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.
3 other providers at this address
Other pediatric dentistry providers in Woodstock
- Tisha Ross, DDSPediatric Dentistry Woodstock, GA NPI 1144252578
- Kunjan Patel, DMDPediatric Dentistry Woodstock, GA NPI 1295015709
- Todd Asarch, DDSPediatric Dentistry Woodstock, GA NPI 1649335746
- Ohkyoung Chang, DDSPediatric Dentistry Woodstock, GA NPI 1679635304
- Charles Oakley Coulter, DDSPediatric Dentistry Woodstock, GA NPI 1679697064
- Julius Park, DMDPediatric Dentistry Woodstock, GA NPI 1710022942
- Claudia Tomaselli, DMDPediatric Dentistry Woodstock, GA NPI 1780606699
- Menka Malhotra, DMDPediatric Dentistry Woodstock, GA NPI 1932375128
About NPI 1053590331
Travis K. Kimathi, DDS's National Provider Identifier is 1053590331, issued on Nov 2, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Woodstock, GA. The record was last updated on May 15, 2015.