| Little Peaches Pediatric Dentistry | |
| 
					120 Handley Rd Suite 210 Tyrone GA 30290-2177  | |
| (770) 632-7090 | |
| (770) 632-7075 | 
| Full Name | Little Peaches Pediatric Dentistry | 
|---|---|
| Speciality | Dentist - Pediatric Dentistry | 
| Location | 120 Handley Rd, Tyrone, Georgia | 
| Authorized Official Name and Position | Charisse Caswell (OWNER) | 
| Authorized Official Contact | 7706327090 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Little Peaches Pediatric Dentistry 120 Handley Rd Suite 210 Tyrone GA 30290-2177 Ph: (770) 632-7090  | Little Peaches Pediatric Dentistry 120 Handley Rd Suite 210 Tyrone GA 30290-2177 Ph: (770) 632-7090  | 
| NPI Number | 1801246079 | 
|---|---|
| Provider Enumeration Date | 06/17/2016 | 
| Last Update Date | 06/17/2016 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801246079 | NPI | - | NPPES | 
| 773054619H | Medicaid | GA | |
| 773054619G | Medicaid | GA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN013163 (Georgia) | Primary | 
Ace Orthodontics And Dentistry,llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1922 Highway 74 N, Ste. E, Tyrone, GA 30290 Phone: 770-892-2110 Fax: 770-892-2126  | |
Nova Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1134 Senoia Rd Ste A2, Tyrone, GA 30290 Phone: 770-253-5885  | |
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Carlos Ramos Dmd; Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Handley Rd, Tyrone, GA 30290 Phone: 770-632-0264  | |
Georgia Dental Professionals, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1522 Highway 74 N, Tyrone, GA 30290 Phone: 678-788-8050  |