NPI 1003492224 · live from the CMS NPI Registry
Dream Pediatric Dentistry And Orthodontics, LLC
Dentist, Pediatric Dentistry in Newnan, GA. National Provider Identifier 1003492224, active.
NPI record
| NPI | 1003492224 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Pediatric Dentistry 1223P0221X |
| Practice location | 2143 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265 |
| Practice phone | 470-541-2426 |
| Enumerated | March 18, 2021 |
| Last updated | March 18, 2021 |
| Authorized official | Mallory Dawson, Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dentist, Pediatric Dentistry primary | 1223P0221X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.