Individual provider · Type 1 NPI
Theresa Beth Conway, DDS, M.S.
Periodontics · Smyrna, GA
NPI number
1174748560
Active
Practice location
2302 English Ivy Court
Smyrna, GA 30080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 012367 (GA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1174748560
Theresa Beth Conway, DDS, M.S.'s National Provider Identifier is 1174748560, issued on Apr 13, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Smyrna, GA. The record was last updated on Jul 8, 2007.