| The Children's Dental Group, Llc | |
|
560 Thornton Rd Suite 203 Lithia Springs GA 30122-1655 | |
| (770) 234-4859 | |
| Not Available |
| Full Name | The Children's Dental Group, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 560 Thornton Rd, Lithia Springs, Georgia |
| Authorized Official Name and Position | Ida Lynn Rose-mize (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7709418802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Children's Dental Group, Llc 560 Thornton Rd Suite 203 Lithia Springs GA 30122-1655 Ph: (770) 234-4859 | The Children's Dental Group, Llc 560 Thornton Rd Suite 203 Lithia Springs GA 30122-1655 Ph: (770) 234-4859 |
| NPI Number | 1851439459 |
|---|---|
| Provider Enumeration Date | 02/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851439459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN012631 (Georgia) | Primary |
Bentwater Cosmetic And Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 Thornton Rd Ste 101, Lithia Springs, GA 30122 Phone: 770-944-9755 Fax: 770-944-1261 | |
Lithia Springs Cosmetic And Family Dentistry P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 Thornton Rd Ste 101, Lithia Springs, GA 30122 Phone: 770-944-9755 Fax: 770-944-1261 | |
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