Organization
NOVUS ORTHODONTICS OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNI SNOW (CREDENTIALING SPECIALIST)
(678) 986-7116
Entity
Organization
Contact information
Practice address
16 FELTON PL UNIT B, CARTERSVILLE, GA 30120-2182
(770) 382-3536
(770) 382-1915
Mailing address
16 FELTON PL UNIT B, CARTERSVILLE, GA 30120-2182
(770) 382-3536
(770) 382-1915
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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