OrganizationActive
Cedar Dental Clinical I, LLC
NPI 1366059396 · Orthodontics and Dentofacial Orthopedics Dentistry · Rome, GA
Provider details
- NPI number
- 1366059396
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Authorized official
- Henry Dallam, President
Practice location
18 Riverbend Dr Sw Ste 230
Rome, GA 30161-6019
Phone: (706) 591-8192
Fax: (706) 591-8103
Mailing address
6801 Governors Lake Pkwy Ste 290
Peachtree Corners, GA 30071-1136
Registry dates
- Enumerated
- 2020-09-24
- Last updated
- 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.