| Canton Pediatric Dentistry Pc | |
|
3395 Sixes Rd Suite 140 Canton GA 30114 | |
| (678) 763-2600 | |
| (678) 893-0459 |
| Full Name | Canton Pediatric Dentistry Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3395 Sixes Rd, Canton, Georgia |
| Authorized Official Name and Position | Vishant Nath (OWNER) |
| Authorized Official Contact | 6787632600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canton Pediatric Dentistry Pc 3395 Sixes Rd Suite 140 Canton GA 30114 Ph: (678) 763-2600 | Canton Pediatric Dentistry Pc 3395 Sixes Rd Suite 140 Canton GA 30114 Ph: (678) 763-2600 |
| NPI Number | 1437398666 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 02/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437398666 | NPI | - | NPPES |
| 761564386 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN013057 (Georgia) | Primary |
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Lewis Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7768 Cumming Hwy, Suite 100, Canton, GA 30114 Phone: 678-493-2204 Fax: 678-493-2275 | |
Greg Elwell, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Waleska St, Canton, GA 30114 Phone: 770-479-5569 Fax: 770-479-3492 | |
Sage Dental Group Of Georgia, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3750 Sixes Rd, Canton, GA 30114 Phone: 561-999-9650 |