NPI 1275254435 · live from the CMS NPI Registry
Clinebell And Anderson Orthodontics
Dentist, Orthodontics and Dentofacial Orthopedics in Decatur, GA. National Provider Identifier 1275254435, active.
NPI record
| NPI | 1275254435 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3732 Lavista Rd, Decatur, GA 30033 |
| Practice phone | 404-325-8116 |
| Enumerated | September 7, 2022 |
| Last updated | September 7, 2022 |
| Authorized official | Lisa Brown, Insurance Coordinator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.