Organization
SWEET MAPLE PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA A NEWTON DMD (PEDIATRIC DENTIST)
(770) 653-3740
Entity
Organization
Contact information
Practice address
56 HAWKINS LN, JEFFERSON, GA 30549-5476
(770) 653-3740
Mailing address
3251 LOST MEADOWS LN, BUFORD, GA 30519-8451
(770) 653-3740
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922462613
—
GA
Enumeration date
08/29/2022
Last updated
08/29/2022
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