Pediatric Dental Center Of Georgia is a Pediatric Dental Clinic in Tifton, Georgia. It is located at 820 Love Ave Ste A, Tifton, GA and its contact number is 229-238-3787. The authorized person for Pediatric Dental Center Of Georgia is Dr. Luther David Webster Ii
who is Owner of the clinic and their contact number is 229-238-3787. The primary license number for Pediatric Dental Center Of Georgia is DN013788 (Pediatric Dentistry) in Georgia. Pediatric Dental Center Of Georgia 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:
Pediatric Dental Center Of Georgia Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Pediatric Dental Center Of Georgia
Specialization:
Pediatric Dentistry
Clinic Address:
820 Love Ave Ste A, Tifton, Georgia, 31794-4000
Phone:
229-238-3787
Fax:
229-238-2530
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:
Dr. Luther David Webster Ii
Position:
Owner
Contact Number:
229-238-3787
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 Pediatric Dental Center Of Georgia clinic are as mentioned below.
NPI Number:
1023321205
NPI Enumeration Date:
16 Jul, 2010
NPI Last Update On:
26 Apr, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Dental Center Of Georgia are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
DN013788
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
582837896B
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:
Pediatric Dental Center Of Georgia 820 Love Ave Ste A, Tifton, Georgia
Zip:
31794-4000
Phone Number:
229-238-3787
Fax Number:
229-238-2530
Patients can reach Pediatric Dental Center Of Georgia at 820 Love Ave Ste A, Tifton, Georgia or can call to book an appointment on 229-238-3787. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.