| A Dental Home 4 Kidz | |
|
155 Carnegie Pl Ste 201 Fayetteville GA 30214-3981 | |
| (770) 871-5158 | |
| Not Available |
| Full Name | A Dental Home 4 Kidz |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 155 Carnegie Pl Ste 201, Fayetteville, Georgia |
| Authorized Official Name and Position | Lona Bibbs (PARTNER) |
| Authorized Official Contact | 7708715158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Dental Home 4 Kidz 155 Carnegie Pl Ste 201 Fayetteville GA 30214-3981 Ph: (770) 871-5158 | A Dental Home 4 Kidz 155 Carnegie Pl Ste 201 Fayetteville GA 30214-3981 Ph: (770) 871-5158 |
| NPI Number | 1366060618 |
|---|---|
| Provider Enumeration Date | 07/13/2020 |
| Last Update Date | 07/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366060618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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