Cedar Dental Clinical I, Llc is a Orthodontics and Dentofacial Clinic in Evans, Georgia. It is located at 4272 Washington Rd Ste 7a, Evans, GA and its contact number is 706-621-7586. The authorized person for Cedar Dental Clinical I, Llc is Mr. Henry Rankin Dallam Iii
who is President of the clinic and their contact number is 770-331-2529. Cedar Dental Clinical I, Llc Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Cedar Dental Clinical I, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Cedar Dental Clinical I, Llc
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
4272 Washington Rd Ste 7a, Evans, Georgia, 30809-3073
Phone:
706-621-7586
Fax:
706-621-7586
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Henry Rankin Dallam Iii
Position:
President
Contact Number:
770-331-2529
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Cedar Dental Clinical I, Llc clinic are as mentioned below.
NPI Number:
1942817960
NPI Enumeration Date:
24 Sep, 2020
NPI Last Update On:
24 Sep, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cedar Dental Clinical I, Llc are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DNO13071
Other
Georgia
Ga Dental License
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Cedar Dental Clinical I, Llc 6801 Governors Lake Pkwy Ste 290, Peachtree Corners, Georgia
Zip:
30071-1136
Phone Number:
678-978-3099
Fax Number:
678-691-4425
Patients can reach Cedar Dental Clinical I, Llc at 4272 Washington Rd Ste 7a, Evans, Georgia or can call to book an appointment on 706-621-7586. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.