STATESBORO PEDIATRIC DENTISTRY, LLC is a pediatric dentistry dentist in Statesboro, 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. STATESBORO PEDIATRIC DENTISTRY, LLC NPI is 1568935286. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
613 E GRADY ST
STATESBORO, GA
ZIP 30458-104
Phone: (478) 456-5907
The provider's authorized official is Anjali Puri Patel .
The authorized official title is Dentist/owner and has the following contact phone number (478) 456-5907.
The CLIA number assigned to this NPI record is 11D0261149 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 1/4/2019 and was last updated on 1/4/2019.