Organization · Type 2 NPI
Dentistry of Brookhaven Corporation
Pediatric Dentistry · Brookhaven, GA
NPI number
1073408340
Active
Practice location
2221 Johnson Ferry Rd NE Ste 2A
Brookhaven, GA 30319-2203
Fax (678) 212-1973
Mailing address
10930 Crabapple Rd Ste 106
Roswell, GA 30075-5825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
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.
Other pediatric dentistry providers in Brookhaven
About NPI 1073408340
Dentistry of Brookhaven Corporation's National Provider Identifier is 1073408340, issued on Jun 9, 2025. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Brookhaven, GA. The record was last updated on Jun 9, 2025.