Organization · Type 2 NPI
Platinum Dental Group Lilburn LLC
Pediatric Dentistry · Lilburn, GA
NPI number
1962634543
Active
Practice location
609 Beaver Ruin Rd., Ste A
Lilburn, GA 30047
Fax (770) 925-3302
Mailing address
PO Box 1953
Lilburn, GA 30048-1953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DN009113 (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.
Other pediatric dentistry providers in Lilburn
About NPI 1962634543
Platinum Dental Group Lilburn LLC's National Provider Identifier is 1962634543, issued on Aug 17, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lilburn, GA. The record was last updated on Aug 17, 2009.