Organization
DENTISTRY FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY LEVITT DDS (OWNER)
(770) 478-8400
Entity
Organization
Contact information
Practice address
435 ARROWHEAD BLVD, JONESBORO, GA 30236-1219
(770) 478-8700
(770) 473-8766
Mailing address
125 EAGLES POINTE PKWY, SUITE 120, STOCKBRIDGE, GA 30281-6379
(770) 473-1350
(770) 692-0098
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/18/2005
Last updated
08/22/2020
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