Childrens Dental Village, Llc is a Pediatric Dental Clinic in Roswell, Georgia. It is located at 9420 Willeo Rd, Suite 104, Roswell, GA and its contact number is 678-352-8108. The authorized person for Childrens Dental Village, Llc is Priya Madhiwala
who is Dentist/owner of the clinic and their contact number is 678-352-8108. The primary license number for Childrens Dental Village, Llc is DN014199 (Pediatric Dentistry) in Georgia. Childrens Dental Village, Llc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Childrens Dental Village, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Childrens Dental Village, Llc
Specialization:
Pediatric Dentistry
Clinic Address:
9420 Willeo Rd, Suite 104, Roswell, Georgia, 30075-6772
Phone:
678-352-8108
Fax:
678-352-8107
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:
Priya Madhiwala
Position:
Dentist/owner
Contact Number:
678-352-8108
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 Childrens Dental Village, Llc clinic are as mentioned below.
NPI Number:
1356749964
NPI Enumeration Date:
12 Dec, 2014
NPI Last Update On:
22 Dec, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Childrens Dental Village, Llc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
DN014199
Georgia
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
1861641698
Other
Georgia
Individual Npi
003106680
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Childrens Dental Village, Llc 9420 Willeo Rd, Suite 104 Roswell, Georgia
Zip:
30075-6772
Phone Number:
678-352-8108
Fax Number:
678-352-8107
Patients can reach Childrens Dental Village, Llc at 9420 Willeo Rd, Suite 104, Roswell, Georgia or can call to book an appointment on 678-352-8108. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.