| Odp Of Northwest Georgia Pc | |
|
2155 Cedarcrest Rd Acworth GA 30101-6274 | |
| (770) 439-9119 | |
| Not Available |
| Full Name | Odp Of Northwest Georgia Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2155 Cedarcrest Rd, Acworth, Georgia |
| Authorized Official Name and Position | Nicole Caride (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7277842721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odp Of Northwest Georgia Pc 2300 Lakeview Pkwy Ste 250 Alpharetta GA 30009-3954 Ph: (470) 207-3264 | Odp Of Northwest Georgia Pc 2155 Cedarcrest Rd Acworth GA 30101-6274 Ph: (770) 439-9119 |
| NPI Number | 1598465395 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598465395 | 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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