D4C OF GEORGIA LLC LISA SHILMAN SOLE MBR NPI 1972261618

NPI Information

D4C OF GEORGIA LLC LISA SHILMAN SOLE MBR 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. D4C OF GEORGIA LLC LISA SHILMAN SOLE MBR NPI is 1972261618. The provider is registered as an organization entity type.

The provider's business location address is:

5505 PEACHTREE DUNWOODY RD STE 470
ATLANTA, GA
ZIP 30342-717
Phone: (770) 692-1000

The provider's authorized official is Joann Rice .
The authorized official title is Credentialing Manager and has the following contact phone number (609) 315-3851.

The enumeration date for this NPI number is 11/30/2021 and was last updated on 11/30/2021.

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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