Organization
MIDLANDS ORTHODONTICS LLC
Active
Other names
Midlands Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CARIDE (CREDENTIALING MANAGER)
(727) 784-2721
Entity
Organization
Contact information
Practice address
9704 TWO NOTCH RD STE B, COLUMBIA, SC 29223-4379
(803) 402-3838
Mailing address
2300 LAKEVIEW PKWY STE 250, ALPHARETTA, GA 30009-3954
(470) 207-3264
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
06/26/2023
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