All for Kids Dental Group, LLC

Organization Active NPI Pediatric Dentistry · Covington, GA

NPI 1104250331 · NPPES record last updated Aug 23, 2013

Key facts

NPI
1104250331
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Dentistry 1223P0221X
License
DN013969 (GA)
Legal business name
ALL FOR KIDS DENTAL GROUP, LLC
Practice address
4115 Tate St NE
Covington, GA 30014-2554
Phone
(770) 784-7099
Fax
(770) 784-5283
NPI assigned
Aug 23, 2013
Organization subpart
No

Authorized official

Name
Dr. Adrian Miller, DDS
Title
Owner/Pediatric Dentist
Phone
(770) 784-7099

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

4115 Tate St NE
Covington, GA 30014
Phone (770) 784-7099

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223P0221X DN013969 GA Yes

Addresses

Primary practice location

4115 Tate St NE
Covington, GA 30014-2554

Mailing address

4115 Tate St NE
Covington, GA 30014-2554
Phone (770) 784-7099

Other identifiers

IdentifierTypeStateIssuer
602316299DMedicaidGA

Other providers in Covington, GA

All providers in Covington, GA · Pediatric Dentistry in Georgia

Sources for this page

Verify at the official NPI Registry.