Individual provider · Type 1 NPI

Tara Tewogbade, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Snellville, GA

NPI number 1447454236 Active

Practice location

3966 Annistown Rd
Snellville, GA 30039-6970

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN013995 (GA)
Dentist 122300000X8254 (NC)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1447454236

Tara Tewogbade, DDS's National Provider Identifier is 1447454236, issued on Jun 13, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Snellville, GA. The record was last updated on Nov 13, 2025.