Organization
CYNTHIA JONES, D.M.D., P.C.
Active
Other names
Dentistry 4 Kids
Organization subpart
No
Provider details
NPI number
Authorized official
DEIDE SMITH (RECEPTIONIST)
(770) 614-4678
Entity
Organization
Contact information
Practice address
3525 LAWRENCEVILLE SUWANEE RD, SUITE 100, SUWANEE, GA 30024-6568
(770) 614-4678
(770) 614-4878
Mailing address
3525 LAWRENCEVILLE SUWANEE RD, SUITE 100, SUWANEE, GA 30024-6568
(770) 614-4678
(770) 614-4878
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
012241
GA
122300000X
Dentist
DN011335
GA
1223P0221X
Pediatric Dentistry
Primary
9560
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000273996C
—
GA
05
—
000661438C
—
GA
05
—
000900974F
—
GA
Enumeration date
06/05/2008
Last updated
06/05/2008
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