| Dentistry4kids | |
|
3525 Lawrenceville Suwanee Rd Suwanee GA 30024-6568 | |
| (770) 614-4678 | |
| (770) 614-4878 |
| Full Name | Dentistry4kids |
|---|---|
| Speciality | Dentist |
| Location | 3525 Lawrenceville Suwanee Rd, Suwanee, Georgia |
| Authorized Official Name and Position | Cynthia Jones (DR) |
| Authorized Official Contact | 7706144678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry4kids 3525 Lawrenceville Suwanee Rd Suwanee GA 30024-6568 Ph: (770) 614-4678 | Dentistry4kids 3525 Lawrenceville Suwanee Rd Suwanee GA 30024-6568 Ph: (770) 614-4678 |
| NPI Number | 1093119422 |
|---|---|
| Provider Enumeration Date | 10/14/2014 |
| Last Update Date | 10/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093119422 | NPI | - | NPPES |
| 000273996C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9560 (Georgia) | Primary |
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