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Contact Information

ALPHARETTA PEDIATRIC AND FAMILY DENTISTRY PC
8560 HOLCOMB BRIDGE RD STE 119
ALPHARETTA, GA30022-5322
 Phone: 770-642-9824
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
 

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for ALPHARETTA PEDIATRIC AND FAMILY DENTISTRY PC · (Female)

NPI Number 1205360377
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2017
Last updated 04/17/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # DN010318
  • GA License # DN013218
  • GA License # DN015112
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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