OrganizationActive
Cedar Dental Clinical I, LLC
NPI 1003423039 · Orthodontics and Dentofacial Orthopedics Dentistry · Mcdonough, GA
Provider details
- NPI number
- 1003423039
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Henry Dallam, President(770) 331-2529
Specialties & taxonomies
Dental Providers
Practice location
119 Willow Ln
Mcdonough, GA 30253-6574
Phone: (678) 432-8505
Fax: (678) 432-9419
Approximate (ZIP-level) locationGet directions
Mailing address
6801 Governors Lake Pkwy Ste 290
Peachtree Corners, GA 30071-1136
Other names (DBA / former)
- Doing business as
- Orthodontic Care of Georgia
Registry dates
- Enumerated
- 2020-09-24
- Last updated
- 2020-09-24
- Certified
- 2020-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.