Provider Demographics
NPI:1972654044
Name:FAMILY AND CHILDREN'S DENTISTRY, PC
Entity Type:Organization
Organization Name:FAMILY AND CHILDREN'S DENTISTRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ALMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-349-7777
Mailing Address - Street 1:PO BOX 310065
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31131-0065
Mailing Address - Country:US
Mailing Address - Phone:404-349-7777
Mailing Address - Fax:404-349-8459
Practice Address - Street 1:2440 FAIRBURN RD SW
Practice Address - Street 2:SUITE 301
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-5256
Practice Address - Country:US
Practice Address - Phone:404-349-7777
Practice Address - Fax:404-349-8459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0116411223G0001X
GA0116441223G0001X
GA0110291223G0001X
GA124771223G0001X
GA0131811223G0001X
GA94501223P0221X
GA107311223P0221X
GA121741223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Not Answered1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty