| It's A Small World Children's Dentistry | |
|
2680 Highway 34 East Newman GA 30265-1330 | |
| (770) 502-9733 | |
| (770) 502-9758 |
| Full Name | It's A Small World Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2680 Highway 34 East, Newman, Georgia |
| Authorized Official Name and Position | Kendra Walker (CREDENTAILING COORDINATOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| It's A Small World Children's Dentistry 2680 Highway 34 East Newnan GA 30265-1330 Ph: (770) 502-9733 | It's A Small World Children's Dentistry 2680 Highway 34 East Newman GA 30265-1330 Ph: (770) 502-9733 |
| NPI Number | 1477760510 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 07/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477760510 | NPI | - | NPPES |
| 000753871 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN011741 (Georgia) | Primary |