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NPI 1487061214 · live from the CMS NPI Registry

Braces Braces LLC

Dentist, Orthodontics and Dentofacial Orthopedics in Acworth, GA. National Provider Identifier 1487061214, active.

NPI record

NPI1487061214 Type 2 · organization
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location3450 Cobb Pkwy Nw Ste 160, Acworth, GA 30101
Practice phone770-222-2322
Mailing address150 Prominence Point Pkwy, Suite 500, Canton, GA 30114
EnumeratedJuly 14, 2014
Last updatedJuly 14, 2014
Authorized officialFarshid Nia, Orthodontist

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400XDN013593 (GA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.