Organization · Type 2 NPI

Children's Dental Center, PC

Oral and Maxillofacial Surgery (Dentist) · Cartersville, GA

NPI number 1871963447 Active

Practice location

1010 N Tennessee St, Ste 105
Cartersville, GA 30120-8525

Fax (770) 382-1915

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry	1223P0221X	None listed
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	None listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

4 other providers at this address

NPI record

NPI: 1871963447
Entity type: Organization (Type 2)
Issued: Sep 25, 2015
Last updated: Oct 9, 2023
Status: Active

Other names

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Children's Dental Center, Pc:sedation and Oral Surgery · doing business as
Children's Dental Center, Pc:sedation and Oral Surgery · doing business as

Authorized official

Jennifer A Cline
Credentialing Specialist
(770) 672-7481

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1871963447

Children's Dental Center, PC's National Provider Identifier is 1871963447, issued on Sep 25, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Cartersville, GA. The record was last updated on Oct 9, 2023.