CEDAR DENTAL CLINICAL I, LLC
NPI 1003423039
Dentist - Orthodontics and Dentofacial Orthopedics in Mcdonough, GA

Active since September 24, 2020
119 WILLOW LN, MCDONOUGH, GA 30253(678) 432-8505(678) 432-9419 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cedar Dental Clinical I, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CEDAR DENTAL CLINICAL I, LLC (NPI 1003423039), doing business as Orthodontic Care Of Georgia, is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Mcdonough, Georgia and active in the NPI registry since September 2020. The organization lists Henry Rankin Dallam, President, as its authorized official.

NPPES Registry Identity

NPI1003423039
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameCEDAR DENTAL CLINICAL I, LLC
Location Address119 WILLOW LNMcdonough, GA 30253-6574
Mailing Address6801 Governors Lake Pkwy Ste 290Peachtree Corners, GA 30071-1136 · (678) 978-3099 · Fax (678) 691-4425
Fax(678) 432-9419
Organization SubpartNo
Authorized OfficialHenry Rankin DallamPresident · (770) 331-2529
Enumeration DateSeptember 24, 2020
NPPES CertifiedSeptember 24, 2020
NPI 1003423039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

119 WILLOW LN, Mcdonough, GA 30253

Other Names 1

Doing Business AsOrthodontic Care Of Georgia

Other Identifiers 1

OtherDN013071GA · Ga Dental License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
119 WILLOW LN
MCDONOUGH, GA 30253

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cedar Dental Clinical I, LLC's NPI number?

The NPI number for Cedar Dental Clinical I, LLC is 1003423039. It was assigned to this organization in the NPPES registry on September 24, 2020. The provider is doing business as Orthodontic Care of Georgia.

Where is Cedar Dental Clinical I, LLC located?

Cedar Dental Clinical I, LLC is located at 119 Willow Ln, Mcdonough, GA 30253. The listed phone number is (678) 432-8505.

What is Cedar Dental Clinical I, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Cedar Dental Clinical I, LLC was last updated on September 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.