NPI 1972010502 · live from the CMS NPI Registry
Cumming Pediatric Dentistry & Orthodontics, LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Cumming, GA. National Provider Identifier 1972010502, active.
NPI record
| NPI | 1972010502 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3275 Market Place Blvd Ste 150, Cumming, GA 30041 |
| Practice phone | 770-781-8650 |
| Enumerated | January 4, 2018 |
| Last updated | January 4, 2018 |
| Authorized official | Linda Monell, Business Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Pediatric Dentistry | 1223P0221X | 015146 (GA) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 011424 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.