Hiram Dental Group, PC

NPI #1902217417 in Hiram, Georgia

Provider Information

NPI Number: 1902217417
Entity Type: Organization
Organization Name: Hiram Dental Group, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 19, 2014
Last Updated: May 19, 2014

Practice Location

Address: 5218 JIMMY LEE SMITH PARKWAY
Address 2: SUITE 100
City: Hiram
State: Georgia
ZIP Code: 30141
Phone: (770) 439-1038

Authorized Official

Name: DR. KATIE L MCCANN, DDS
Title: OWNER
Phone: (770) 439-1038

Specialties & Taxonomy Codes

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

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