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NPI 1366060618

OrganizationActive

A Dental Home 4 Kidz

NPI 1366060618 · Pediatric Dentistry · Fayetteville, GA

Provider details

NPI number: 1366060618
Entity type: Organization
Primary specialty: Pediatric DentistryDental Providers
Authorized official: Lona Bibbs, Partner

Practice location

155 Carnegie Pl Ste 201

Fayetteville, GA 30214-3981

Phone: (770) 871-5158

More GA providers

Mailing address

155 Carnegie Pl Ste 201

Fayetteville, GA 30214-3981

Registry dates

Enumerated: 2020-07-13
Last updated: 2020-07-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

A Dental Home 4 Kidz — NPI 1366060618, Fayetteville, GA | NPI Central