Provider Demographics
NPI:1013649136
Name:NORTH ATLANTA KIDS DENTISTRY, LLC
Entity type:Organization
Organization Name:NORTH ATLANTA KIDS DENTISTRY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEMANT
Authorized Official - Middle Name:
Authorized Official - Last Name:DHAWAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:770-202-4001
Mailing Address - Street 1:3680 PLEASANT HILL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-3268
Mailing Address - Country:US
Mailing Address - Phone:770-202-4001
Mailing Address - Fax:
Practice Address - Street 1:3680 PLEASANT HILL RD STE 100
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-3268
Practice Address - Country:US
Practice Address - Phone:770-202-4001
Practice Address - Fax:770-202-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty