Pediatric Dental Specialist of Hiram

NPI #1245617364 in Hiram, Georgia

Provider Information

NPI Number
1245617364
Entity Type
Organization
Organization Name
Pediatric Dental Specialist of Hiram
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Apr 27, 2015
Last Updated
Apr 27, 2015

Practice Location

Address
5604 WENDY BAGWELL PKWY
Address 2
SUITE 1100
City
Hiram
State
Georgia
ZIP Code
30141-7813
Phone
(770) 943-0011

Authorized Official

Name
DR. MINDY LYNN SIMMS, DDS
Title
PRESIDENT
Phone
(330) 289-6019

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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