Hickory Flat Orthodontics, PC

NPI #1952520751 in Canton, Georgia

Provider Information

NPI Number: 1952520751
Entity Type: Organization
Organization Name: Hickory Flat Orthodontics, PC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Apr 24, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 6488 HICKORY FLAT HWY
City: Canton
State: Georgia
ZIP Code: 30115-7235
Phone: (770) 720-8138

Authorized Official

Name: DR. CARL M. RUSSELL, DMD, PHD
Title: PRESIDENT
Phone: (770) 720-8138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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