Blossom Pediatric Dentistry, LLC is a healthcare organization in the SUWANEE area. Blossom Pediatric Dentistry, LLC primary office location is at 345 PEACHTREE INDUSTRIAL BLVD STE 1102-1103 and new patients are welcome to contact this healthcare organization for an appointment. The NPI number is 1164145827 and the information was updated approximately 1 year ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: Unknown
Participates in PECOS: NO
Type/Issuer | Identifier | State |
---|---|---|
INDIVIDUAL NPI | 1811302474 | GA |
Taxonomy | State | Primary? |
---|---|---|
Pediatric Dentist - Taxonomy Code 1223P0221X | -- | Y |
Single Specialty Group - Taxonomy Code 193400000X | GA | N |