Organization Name: | ATHENS DENTISTRY FOR CHILDREN |
NPI Number: | 1013188929 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE HARMON (DENTIST) |
Mailing Address: | 2470 Daniels Bridge Rd Suite 231 Athens |
State: | GA US |
Postal Code: | 306066187 |
Phone Number: | 7063553109 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2008 |
NPI Last Update Date: | 03/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DN013062 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |