Organization · Type 2 NPI

East Atlanta Pediatric Dentistry PC

Pediatric Dentistry · Atlanta, GA

NPI number 1740688142 Active

Practice location

2646 Gresham Rd SE
Atlanta, GA 30316-4148

Call (404) 243-0929 Map

Fax (404) 243-0928

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN012645 (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 1740688142

East Atlanta Pediatric Dentistry PC's National Provider Identifier is 1740688142, issued on Dec 17, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Atlanta, GA. The record was last updated on Dec 17, 2014.