Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cedar Dental Clinical I, LLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1003423039

Cedar Dental Clinical I, LLC is an Orthodontics and Dentofacial Orthopedics Dentistry in McDonough, Georgia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

119 Willow Ln
McDonough, GA 30253-6574
Phone: (678) 432-8505
Fax: (678) 432-9419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1003423039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henry Dallam — President · (770) 331-2529
Other names Orthodontic Care Of Georgia
NPI enumeratedSeptember 24, 2020
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020
Mailing address6801 Governors Lake Pkwy Ste 290, Peachtree Corners, GA 30071-1136

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