Organization
CHATTAHOOCHEE FAMILY ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CARIDE (CREDENTIALING MGR)
(727) 784-2721
Entity
Organization
Contact information
Practice address
5106 OAK ST, EASTMAN, GA 31023-6027
(478) 268-4959
Mailing address
2300 LAKEVIEW PKWY STE 250, ALPHARETTA, GA 30009-3954
(470) 207-3264
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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