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THE CHILDREN'S DENTAL GROUP LLC NPI 1851439459


NPI Information

NPI: 1851439459
Provider Name: THE CHILDREN'S DENTAL GROUP, LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
560 THORNTON RD
SUITE 203
LITHIA SPRINGS, GA
ZIP 30122
Phone: (770) 234-4859
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THE CHILDREN'S DENTAL GROUP, LLC is a pediatric dentistry dentist in Lithia Springs, 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. THE CHILDREN'S DENTAL GROUP, LLC NPI is 1851439459. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

560 THORNTON RD
SUITE 203
LITHIA SPRINGS, GA
ZIP 30122-655
Phone: (770) 234-4859

The provider's authorized official is Ida Lynn Rose-mize .
The authorized official title is Pediatric Dentist and has the following contact phone number (770) 941-8802.

The enumeration date for this NPI number is 2/3/2007 and was last updated on 8/22/2020.


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 DentistryDN012631GEORGIAYes

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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