East Atlanta Pediatric Dentistry Pc is a Pediatric Dental Clinic in Atlanta, Georgia. It is located at 2646 Gresham Rd Se, Atlanta, GA and its contact number is 404-243-0929. The authorized person for East Atlanta Pediatric Dentistry Pc is Teresa Jordan
who is Dentist/owner of the clinic and their contact number is 404-243-0929. The primary license number for East Atlanta Pediatric Dentistry Pc is DN012645 (Pediatric Dentistry) in Georgia. East Atlanta Pediatric Dentistry Pc 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:
East Atlanta Pediatric Dentistry Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
East Atlanta Pediatric Dentistry Pc
Specialization:
Pediatric Dentistry
Clinic Address:
2646 Gresham Rd Se, Atlanta, Georgia, 30316-4148
Phone:
404-243-0929
Fax:
404-243-0928
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:
Teresa Jordan
Position:
Dentist/owner
Contact Number:
404-243-0929
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 East Atlanta Pediatric Dentistry Pc clinic are as mentioned below.
NPI Number:
1740688142
NPI Enumeration Date:
17 Dec, 2014
NPI Last Update On:
17 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 East Atlanta Pediatric Dentistry Pc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
DN012645
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
1780888693
Other
Georgia
Nppes
DN012645
Other
Georgia
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:
East Atlanta Pediatric Dentistry Pc 2646 Gresham Rd Se, Atlanta, Georgia
Zip:
30316-4148
Phone Number:
404-243-0929
Fax Number:
404-243-0928
Patients can reach East Atlanta Pediatric Dentistry Pc at 2646 Gresham Rd Se, Atlanta, Georgia or can call to book an appointment on 404-243-0929. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.