Bentwater Cosmetic and Family Dentistry
Organization Active NPI General Practice Dentistry · Lithia Springs, GA
NPI 1154069391 · NPPES record last updated Jul 27, 2022
Key facts
- NPI
- 1154069391
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- BENTWATER COSMETIC AND FAMILY DENTISTRY
- Practice address
- 351 Thornton Rd Ste 101
Lithia Springs, GA 30122-1589 - Phone
- (770) 944-9755
- Fax
- (770) 944-1261
- NPI assigned
- May 26, 2022
- Organization subpart
- No
Authorized official
- Name
- Tiffany Threlkeld, DO
- Title
- Business Manager
- Phone
- (678) 499-3514
Practitioners 1
-
Nahid Bahrami, DMD
National Provider Directory
Locations
3742 Cedarcrest Rd
B104
Acworth, GA 30101
Phone (770) 944-9755
351 Thornton Rd
Ste 101
Lithia Springs, GA 30122
Phone (770) 944-9755
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
351 Thornton Rd Ste 101
Lithia Springs, GA 30122-1589
Mailing address
351 Thornton Rd Ste 101
Lithia Springs, GA 30122-1589
Phone (770) 944-9755
Other practice location 1
3742 Cedarcrest rd
B104
Acworth, GA 30101
Phone (770) 944-9755
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN011428 | Other | GA | DENTAL LICENSE NUMBER |
Other providers in Lithia Springs, GA
- Shaniqua Barron
- Harley Alan Belinky
- Joshua Bell
- Bella Vista Family Eyecare
- Beloved Care
- Bryan David Blake
- BLK Haven Corp.
- Ronnie Earl Bolar
- Yamil Bonilla
- Makayla Booker
All providers in Lithia Springs, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.