Cesar Humberto Cardenas, DMD, MS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Grayson, GA
NPI 1447287909 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1447287909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- DN013156 (GA)
- Practice address
- 2340 Loganville Hwy
Grayson, GA 30017-1621 - Phone
- (678) 969-9785
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013156 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embrace Orthodontics Cumming LLC | Current | Accepting new patients | |
| Bethlehem Orthodontics | Current | Accepting new patients | |
| Commerce Orthodontics LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN013156 | GA | Yes |
Addresses
Primary practice location
2340 Loganville Hwy
Grayson, GA 30017-1621
Mailing address
4810 Berkeley Walk PT
Berkeley Lake, GA 30096-6193
Phone (678) 969-9785
Other providers in Grayson, GA
- Angela Yvette Brown
- Butterfly Development, LLC
- Cheryl Selena Butts
- Calm Pelvic Health
- Calm Refuge Healthcare LLC
- Crystal Carithers
- Jalmec Carter- Holifield
- Linda Carter
- Centerville Foot Care, P.C.
- Cherish Home Health Solution
All providers in Grayson, GA · Orthodontics and Dentofacial Orthopedics 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 8, 2007. 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.