| Ortho 4 Suwanee | |
|
3525 Lawrenceville Suwanee Rd Ste 100 Suwanee GA 30024-6568 | |
| (770) 614-4678 | |
| Not Available |
| Full Name | Ortho 4 Suwanee |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3525 Lawrenceville Suwanee Rd Ste 100, Suwanee, Georgia |
| Authorized Official Name and Position | Cynthia Jones (OWNER) |
| Authorized Official Contact | 7038030007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ortho 4 Suwanee 3525 Lawrenceville Suwanee Rd Ste 100 Suwanee GA 30024-6568 Ph: (770) 614-4678 | Ortho 4 Suwanee 3525 Lawrenceville Suwanee Rd Ste 100 Suwanee GA 30024-6568 Ph: (770) 614-4678 |
| NPI Number | 1992697965 |
|---|---|
| Provider Enumeration Date | 07/16/2025 |
| Last Update Date | 07/16/2025 |
| Certification Date | 06/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992697965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Primary |
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