Organization · Type 2 NPI
Fayetteville Pediatric Dentistry
Pediatric Dentistry · Fayetteville, GA
NPI number
1073056933
Active
Practice location
320 N Jeff Davis Dr, Suite C
Fayetteville, GA 30214-1669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DN013057 (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 Fayetteville
About NPI 1073056933
Fayetteville Pediatric Dentistry's National Provider Identifier is 1073056933, issued on Nov 28, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fayetteville, GA. The record was last updated on Nov 28, 2016.