NPI 1770031544 · live from the CMS NPI Registry
Chattahoochee Family Orthodontics
Dentist, Orthodontics and Dentofacial Orthopedics in Suwanee, GA. National Provider Identifier 1770031544, active.
NPI record
| NPI | 1770031544 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 345 Peachtree Industrial Blvd, Ste 1102, Suwanee, GA 30024 |
| Practice phone | 770-888-7798 |
| Mailing address | 342 N Main St, Ste 200, Alpharetta, GA 30009 |
| Enumerated | September 21, 2016 |
| Last updated | September 21, 2016 |
| Authorized official | Brian Smith, Cfo |
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.