NPI 1922553676 · live from the CMS NPI Registry
Crabapple Ortho And Pedo
Dentist, Pediatric Dentistry in Alpharetta, GA. National Provider Identifier 1922553676, active.
NPI record
| NPI | 1922553676 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Pediatric Dentistry 1223P0221X |
| Practice location | 12385 Crabapple Rd Ste 100, Alpharetta, GA 30004 |
| Practice phone | 770-901-2369 |
| Enumerated | August 23, 2016 |
| Last updated | August 23, 2016 |
| Authorized official | Jennifer Snow, Credentialing Coordinator |
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.