NPI 1003968496

Carrollton Family Dentistry

Organisation General Practice Dentistry Carrollton, GA

Practice location

Address: 101 Clinic Ave, Carrollton, GA 30117-4413
Phone: (770) 832-1376
Mailing address: 126 Enterprise Path Suite #106, Hiram, GA 30141

Authorised official

Name: Patricia Sims
Title: Office Manager
Phone: (770) 439-2550

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN012710 (GA)

Other Dentist providers in Georgia →

Registry record

NPI: 1003968496
Entity type: Organization
NPI issued: 17 Jan 2007
Record last updated: 6 Oct 2011

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.