Acworth Center for Family Dentistry
Organization Active NPI Dentist · Acworth, GA
NPI 1982010120 · NPPES record last updated Jul 9, 2014
Key facts
- NPI
- 1982010120
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- DN013645 (GA)
- Legal business name
- ACWORTH CENTER FOR FAMILY DENTISTRY
- Practice address
- 3466 Cobb Pkwy
Suite 170
Acworth, GA 30101 - Phone
- (770) 203-1711
- Fax
- (404) 855-4104
- NPI assigned
- Jul 9, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Farhad Nia, DMD
- Title
- General Dentist/Owner
- Phone
- (770) 203-1711
National Provider Directory
Locations
3466 Cobb Pkwy NW
Ste 170
Acworth, GA 30101
Phone (770) 203-1711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | DN013645 | GA | Yes |
Addresses
Primary practice location
3466 Cobb Pkwy
Suite 170
Acworth, GA 30101
Mailing address
1867 Jonesboro Rd
Suite 6
McDonough, GA 30253-6099
Phone (678) 432-0209
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2014. 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.