IndividualActive
Adesegun Tewogbade, DMD
NPI 1952449944 · Pediatric Dentistry · Snellville, GA
Provider details
- NPI number
- 1952449944
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DN013400 (GA)
Specialties & taxonomies
Dental Providers
Practice location
3966 Annistown Rd
Snellville, GA 30039-6970
Phone: (770) 469-4192
Fax: (770) 469-4195
Approximate (ZIP-level) locationGet directions
Mailing address
3966 Annistown Rd
Snellville, GA 30039-6970
Registry dates
- Enumerated
- 2007-02-02
- Last updated
- 2024-03-01
- Certified
- 2024-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.