CHILDREN'S DENTAL CENTER PC NPI 1871963447

NPI Information

  • NPI: 1871963447
  • Provider Name: CHILDREN'S DENTAL CENTER, PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: CHILDREN'S DENTAL CENTER, PC:SEDATION AND ORAL SURGERY
  • Address: 1010 N TENNESSEE ST
    STE 105
    CARTERSVILLE, GA
    ZIP 30120
  • Phone: (770) 672-7481

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NPI Details

CHILDREN'S DENTAL CENTER, PC is an oral and maxillofacial surgery dentist in Cartersville, GA. The provider is an oral and maxillofacial surgery dentist specialized in 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. CHILDREN'S DENTAL CENTER, PC NPI is 1871963447. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Children's Dental Center, Pc:sedation And Oral Surgery.

The provider's business location address is:

1010 N TENNESSEE ST
STE 105
CARTERSVILLE, GA
ZIP 30120-525
Phone: (770) 672-7481
Fax: (770) 382-1915

The provider's authorized official is Jennifer A Cline .
The authorized official title is Credentialing Specialist and has the following contact phone number (770) 672-7481.

The enumeration date for this NPI number is 9/25/2015 and was last updated on 10/9/2023.

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 DentistryNo
21223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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