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Organization

PEDIATRIC DENTISTRY ASLEEP OF GEORGIA LLC

Active
Parent organization
PEDIATRIC DENTISTRY ASLEEP GROUP LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PEDIATRIC DENTISTRY ASLEEP GROUP LLC
Authorized official
DR. JOHNNY JOSEPH DMD (PRESIDENT)
(857) 200-3312
Entity
Organization

Contact information

Practice address
888 PINE ST, MACON, GA 31201-2109
(412) 672-4077
(412) 672-4570
Mailing address
500 N LEWIS RUN RD STE 215A, WEST MIFFLIN, PA 15122-3009
(412) 672-4077
(412) 672-4570

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
11/29/2024
Last updated
11/29/2024
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