DENTISTRY FOR CHILDREN CDCOA LLC NPI 1144509852

NPI Information

DENTISTRY FOR CHILDREN CDCOA LLC is a pediatric dentistry dentist in Atlanta, 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. DENTISTRY FOR CHILDREN CDCOA LLC NPI is 1144509852. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4536 CHAMBLEE DUNWOODY RD
SUITE 211
ATLANTA, GA
ZIP 30338-200
Phone: (770) 331-4104

The provider's authorized official is Teresa Blair .
The authorized official title is Supervisor Of Medicaid and has the following contact phone number (770) 331-4014.

The enumeration date for this NPI number is 8/11/2011 and was last updated on 8/11/2011.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.