NPI 1003040163

Orthodontic Care of Georgia

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Carrollton, GA

Practice location

Address: 1109 S Park St Suite 203, Carrollton, GA 30117-4462
Phone: (678) 796-0511
Fax: (678) 796-0512
Mailing address: 1828 Jonesboro Rd, McDonough, GA 30253-5960

Authorised official

Name: Robert Zayas
Title: Manager
Phone: (706) 342-7272

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 011309 (GA)

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Registry record

NPI: 1003040163
Entity type: Organization
NPI issued: 5 May 2009
Record last updated: 5 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.