JUST KIDS DENTISTRY NPI 1396974051

NPI Information

NPI: 1396974051
Provider Name: JUST KIDS DENTISTRY
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1350 SCENIC HWY N
SUITE 262
SNELLVILLE, GA
ZIP 30078
Phone: (770) 972-0921
Get Directions

JUST KIDS DENTISTRY is a pediatric dentistry dentist in Snellville, 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. JUST KIDS DENTISTRY NPI is 1396974051. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1350 SCENIC HWY N
SUITE 262
SNELLVILLE, GA
ZIP 30078-907
Phone: (770) 972-0921
Fax: (770) 972-0922

The provider's authorized official is Sarita Henry .
The authorized official title is Owner and has the following contact phone number (770) 972-0921.

The enumeration date for this NPI number is 7/2/2009 and was last updated on 1/22/2010.

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
1	1223P0221X	Dentist	Pediatric Dentistry			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000900974D	MEDICAID	GEORGIA
2	188040	OTHER	GEORGIA	DORAL DENTAL

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: 4/28/2024

NPI Synchronization or Removal

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