Crabapple Ortho And Pedo
Dentist, Pediatric Dentistry in Alpharetta, GA. Organization (NPI-2).
NPI number1922553676
StatusActive
Last updated in NPPESAug 23, 2016
Details
- NPI
- 1922553676
- Entity type
- Organization (NPI-2)
- Legal business name
- Crabapple Ortho And Pedo
- Organization subpart
- No
- Enumeration date
- Aug 23, 2016
- Last updated
- Aug 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – |
Practice location
12385 Crabapple Rd Ste 100Alpharetta, GA 30004-6357
Phone 770-901-2369
Mailing address
12385 Crabapple Rd Ste 100Alpharetta, GA 30004-6357
Phone 770-901-2369
Authorized official
Jennifer Snow
Credentialing Coordinator
4044101340
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