| Chattahoochee Family Orthodontics | |
|
313 Mooty Bridge Rd Ste 202 Lagrange GA 30240-1809 | |
| (706) 837-0123 | |
| Not Available |
| Full Name | Chattahoochee Family Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 313 Mooty Bridge Rd Ste 202, Lagrange, Georgia |
| Authorized Official Name and Position | Nicole Caride (CREDENTIALING MGR) |
| Authorized Official Contact | 7277842721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chattahoochee Family Orthodontics 2300 Lakeview Pkwy Ste 250 Alpharetta GA 30009-3954 Ph: (470) 207-3264 | Chattahoochee Family Orthodontics 313 Mooty Bridge Rd Ste 202 Lagrange GA 30240-1809 Ph: (706) 837-0123 |
| NPI Number | 1639977820 |
|---|---|
| Provider Enumeration Date | 03/04/2025 |
| Last Update Date | 03/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639977820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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