Young Smiles Dentistry for Kids
NPI #1174832802 in Powder Springs, Georgia
Provider Information
- NPI Number
- 1174832802
- Entity Type
- Organization
- Organization Name
- Young Smiles Dentistry for Kids
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Sep 29, 2010
- Last Updated
- Sep 29, 2010
Practice Location
- Address
- 4150 MACLAND RD
- Address 2
- SUITE 205
- City
- Powder Springs
- State
- Georgia
- ZIP Code
- 30127-1202
- Phone
- (770) 222-1344
Authorized Official
- Name
- DR. KEVIN R JACKSON, DDS
- Title
- DENTIST
- Phone
- (770) 222-1344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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