| Specialty Providers At Children's, Llc | |
|
1575 Northeast Expy Ne Brookhaven GA 30329-2401 | |
| (404) 785-7876 | |
| Not Available |
| Full Name | Specialty Providers At Children's, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1575 Northeast Expy Ne, Brookhaven, Georgia |
| Authorized Official Name and Position | Joe Cavasin (MANAGER PROVIDER ENROLLMENT) |
| Authorized Official Contact | 4047855869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Providers At Children's, Llc 1575 Northeast Expy Ne Brookhaven GA 30329-2401 Ph: () - | Specialty Providers At Children's, Llc 1575 Northeast Expy Ne Brookhaven GA 30329-2401 Ph: (404) 785-7876 |
| NPI Number | 1346606076 |
|---|---|
| Provider Enumeration Date | 01/11/2016 |
| Last Update Date | 10/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346606076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Mcnumb Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 Dresden Dr Ne Ste 250, Brookhaven, GA 30319 Phone: 404-254-1128 | |
Dentistry Of Brookhaven Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2221 Johnson Ferry Rd Ne Ste 2a, Brookhaven, GA 30319 Phone: 770-651-1000 Fax: 678-212-1973 | |
Gamble Dentalsmart, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3307 Buford Hwy Ne, Brookhaven, GA 30329 Phone: 843-735-6727 | |
Brookhaven Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4060 Peachtree Rd Ne Ste H, Brookhaven, GA 30319 Phone: 404-549-2650 | |
Brookhaven Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1407 Dresden Dr Ne Ste 200, Brookhaven, GA 30319 Phone: 404-971-3889 Fax: 678-399-2094 | |
Atlanta Dental Spa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2556 Apple Valley Rd Ne Ste 250, Brookhaven, GA 30319 Phone: 770-998-3838 Fax: 678-550-9639 |