Milton Pediatric Dentistry And Orthodontics Corp
Dentist, General Practice in Milton, GA. Organization (NPI-2).
NPI number1205196870
StatusActive
Last updated in NPPESJun 4, 2012
Details
- NPI
- 1205196870
- Entity type
- Organization (NPI-2)
- Legal business name
- Milton Pediatric Dentistry And Orthodontics Corp
- Organization subpart
- No
- Enumeration date
- May 17, 2012
- Last updated
- Jun 4, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | dn013057 | GA | Yes |
Other names
- Dentistry At Milton (Doing Business As)
Practice location
980 Birmingham Rd Ste 507Milton, GA 30004-4418
Phone 678-352-1090
Mailing address
570 W Crossville Rd Ste 203Roswell, GA 30075-7517
Phone 678-763-2600
Authorized official
Vishant Nath
Owner
6787632600
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 7 General Practice Dentistry providers in Milton · All 166 providers in Milton
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