| Childrens Dentistry Of Woodstock | |
|
2230 Towne Lake Pkwy Bldg 1300 Ste 100 Woodstock GA 30189 | |
| (678) 455-5444 | |
| (678) 455-5552 |
| Full Name | Childrens Dentistry Of Woodstock |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2230 Towne Lake Pkwy, Woodstock, Georgia |
| Authorized Official Name and Position | Brian Smith (CONTROLLER) |
| Authorized Official Contact | 6784455444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dentistry Of Woodstock Po Box 195 Woodstock GA 30188 Ph: (678) 445-5444 | Childrens Dentistry Of Woodstock 2230 Towne Lake Pkwy Bldg 1300 Ste 100 Woodstock GA 30189 Ph: (678) 455-5444 |
| NPI Number | 1902965932 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902965932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Georgia) | Primary |
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