West Georgia Dentistry for Children

NPI #1861767253 in Hiram, Georgia

Provider Information

NPI Number: 1861767253
Entity Type: Organization
Organization Name: West Georgia Dentistry for Children
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 19, 2012
Last Updated: Mar 19, 2012

Practice Location

Address: 3827 JIMMY LEE SMITH PKWY
Address 2: SUITE 121
City: Hiram
State: Georgia
ZIP Code: 30141-2804
Phone: (678) 384-1787

Authorized Official

Name: DR. SHARON BINGHAM-SHULTZ, D.M.D.
Title: DENTIST
Phone: (678) 384-1787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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