| Dentistry For Children Of Stockbridge, Llc | |
| 
					125 Eagles Pointe Pkwy Ste 210 Stockbridge GA 30281-6379  | |
| (770) 507-7282 | |
| (770) 692-0651 | 
| Full Name | Dentistry For Children Of Stockbridge, Llc | 
|---|---|
| Speciality | Dentist - Pediatric Dentistry | 
| Location | 125 Eagles Pointe Pkwy Ste 210, Stockbridge, Georgia | 
| Authorized Official Name and Position | Charles Coulter (PEDIATRIC DENTIST) | 
| Authorized Official Contact | 7704731350 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dentistry For Children Of Stockbridge, Llc 295 Country Club Dr Stockbridge GA 30281-7350 Ph: (770) 473-1350  | Dentistry For Children Of Stockbridge, Llc 125 Eagles Pointe Pkwy Ste 210 Stockbridge GA 30281-6379 Ph: (770) 507-7282  | 
| NPI Number | 1972804797 | 
|---|---|
| Provider Enumeration Date | 11/10/2010 | 
| Last Update Date | 11/10/2010 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1972804797 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary | 
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary | 
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