CHILDREN'S DENTAL CTR AT BROOKSTONE NPI 1013117878

NPI Information

CHILDREN'S DENTAL CTR AT BROOKSTONE is a pediatric dentistry dentist in Acworth, 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. CHILDREN'S DENTAL CTR AT BROOKSTONE NPI is 1013117878. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1825 MARS HILL RD NW
ACWORTH, GA
ZIP 30101
Phone: (770) 422-9375
Fax: (770) 528-5976

The provider's authorized official is Maureen Ward Shealy .
The authorized official title is Cfo and has the following contact phone number (770) 422-9375.

The enumeration date for this NPI number is 7/20/2007 and was last updated on 7/20/2007.

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:

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