Organization · Type 2 NPI

R Jason Neil Bongiovi DMD PC

Pediatric Dentistry · Cumming, GA

NPI number 1356580633 Active

Practice location

3810 Windemere Parkway, Ste 502
Cumming, GA 30041

Call (404) 316-0588 Map

Mailing address

18 Vernon Glen Ct
Atlanta, GA 30338-5420

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN013085 (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 1356580633

R Jason Neil Bongiovi DMD PC's National Provider Identifier is 1356580633, issued on Feb 11, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Cumming, GA. The record was last updated on Feb 11, 2009.