Organization · Type 2 NPI

Mini Smiles Pediatric Dentistry, PC

Pediatric Dentistry · Conyers, GA

NPI number 1184059073 Active

Practice location

1400 Dogwood Dr SE
Conyers, GA 30013-5037

Fax (770) 761-9750

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN013140 (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.

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About NPI 1184059073

Mini Smiles Pediatric Dentistry, PC's National Provider Identifier is 1184059073, issued on Sep 10, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Conyers, GA. The record was last updated on Feb 7, 2014.