Jpc Dental Group

NPI #1578940904 in Milton, Georgia

Provider Information

NPI Number: 1578940904
Entity Type: Organization
Organization Name: Jpc Dental Group
Primary Specialty: Dentist
Enumeration Date: May 6, 2015
Last Updated: May 6, 2015

Practice Location

Address: 13075 HIGHWAY 9 N
Address 2: STE 110
City: Milton
State: Georgia
ZIP Code: 30004-5145
Phone: (404) 512-9355

Authorized Official

Name: DR. JUSTIN CHONG, D.M.D.
Title: OWNER
Phone: (404) 512-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist	122300000X	Primary

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