Organization
MIDLANDS ORTHODONTICS LLC
Active
Parent organization
MIDLANDS ORTHODONTICS LLC
Other names
Kids First Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDLANDS ORTHODONTICS LLC
Authorized official
NICOLE CARIDE (CREDENTIALING MANAGER)
(727) 784-2721
Entity
Organization
Contact information
Practice address
1324 BYPASS 72 NE, GREENWOOD, SC 29649-2207
(864) 301-9272
Mailing address
2300 LAKEVIEW PKWY STE 250, ALPHARETTA, GA 30009-3954
(727) 784-2721
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
01/31/2025
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