Organization · Type 2 NPI
Oak Grove Pediatric Dentistry, P.c.
Pediatric Dentistry · Decatur, GA
NPI number
1942083852
Active
Practice location
3744 Lavista Rd
Decatur, GA 30033-1045
Mailing address
296 S Main St Ste 300
Alpharetta, GA 30009-1973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | None listed |
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.
3 other providers at this address
Other pediatric dentistry providers in Decatur
About NPI 1942083852
Oak Grove Pediatric Dentistry, P.c.'s National Provider Identifier is 1942083852, issued on Aug 15, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Decatur, GA. The record was last updated on Aug 15, 2023.