NPI 1316584758 · live from the CMS NPI Registry
Classic City Orthodontics, LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Watkinsville, GA. National Provider Identifier 1316584758, active.
NPI record
| NPI | 1316584758 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1020 Jamestown Blvd Bldg 100, Watkinsville, GA 30677 |
| Practice phone | 706-549-4748 |
| Enumerated | December 4, 2019 |
| Last updated | December 4, 2019 |
| Authorized official | Christopher Harter, President |
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.