Organization
CHILDREN'S DENTAL CENTER, PC
Active
Other names
Children's Dental Center, PC of Rome
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A CLINE (CREDENTIALING SPECIALIST)
(706) 232-1283
Entity
Organization
Contact information
Practice address
15 RIVERBEND DR SW, STE 130, ROME, GA 30161-6005
(706) 232-1283
(770) 672-7480
Mailing address
15 RIVERBEND DR SW, STE 130, ROME, GA 30161-6005
(706) 232-1283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/25/2015
Last updated
10/09/2023
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