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CHILDREN'S DENTAL CARE CENTER PC NPI 1992977615


NPI Information

NPI: 1992977615
Provider Name: CHILDREN'S DENTAL CARE CENTER, PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
5000 SNAPFINGER WOODS DR
SUITE B-210
DECATUR, GA
ZIP 30035
Phone: (770) 323-1280
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CHILDREN'S DENTAL CARE CENTER, PC is a clinic center in Decatur, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CHILDREN'S DENTAL CARE CENTER, PC NPI is 1992977615. The provider is registered as an organization entity type.

The provider's business location address is:

5000 SNAPFINGER WOODS DR
SUITE B-210
DECATUR, GA
ZIP 30035-085
Phone: (770) 323-1280
Fax: (770) 323-8622

The provider's authorized official is Carolyn W. Williams .
The authorized official title is Director and has the following contact phone number (770) 323-1280.

The enumeration date for this NPI number is 4/2/2008 and was last updated on 4/2/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterDN011370GEORGIAYes

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

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