Organization · Type 2 NPI

Ga SDS III PC

Orthodontics and Dentofacial Orthopedics Dentistry · Atlanta, GA

NPI number 1508639535 Active

Practice location

91 W Wieuca Rd NE Ste 300
Atlanta, GA 30342-3248

Call (404) 303-7400 Map

Mailing address

401 Church St Ste 1400
Nashville, TN 37219-2214

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry	1223P0221X	None listed
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

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…

2 other providers at this address

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About NPI 1508639535

Ga SDS III PC's National Provider Identifier is 1508639535, issued on Nov 1, 2023. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Atlanta, GA. The record was last updated on Nov 1, 2023.