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KIMATHI PEDIATRIC DENTISTRY PC NPI 1679833990


NPI Information

NPI: 1679833990
Provider Name: KIMATHI PEDIATRIC DENTISTRY PC

Other Name: FIRST CARE PEDIATRIC DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
3432 HIGHWAY 5
DOUGLASVILLE, GA
ZIP 30135
Phone: (770) 942-1260
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KIMATHI PEDIATRIC DENTISTRY PC is a pediatric dentistry dentist in Douglasville, GA. The provider is 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. KIMATHI PEDIATRIC DENTISTRY PC NPI is 1679833990. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is First Care Pediatric Dentistry.

The provider's business location address is:

3432 HIGHWAY 5
DOUGLASVILLE, GA
ZIP 30135-310
Phone: (770) 942-1260
Fax: (770) 942-9244

The provider's authorized official is Travis Kimathi .
The authorized official title is President and has the following contact phone number (770) 942-1260.

The enumeration date for this NPI number is 5/21/2012 and was last updated on 5/21/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryDN013750GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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