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Organization
DALTON FAMILY DENTISTRY, P.C.
Active
Organization
DALTON FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER M. MILLER D.M.D. (PRESIDENT)
(706) 270-5775
Entity
Organization
Contact information
Practice address
400 S THORNTON AVE, DALTON, GA 30720-8269
(706) 270-5775
Mailing address
1090 NORTHCHASE PKWY SE, STE 150, MARIETTA, GA 30067-6405
(770) 916-5031
(678) 247-7966
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223D0004X
Dental Anesthesiology
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
10/26/2015
Last updated
04/06/2017
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