HOSPITAL DENTISTRY PC NPI 1093560690

NPI Information

  • NPI: 1093560690
  • Provider Name: HOSPITAL DENTISTRY PC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 316 N BROAD ST
    WINDER, GA
    ZIP 30680
  • Phone: (770) 826-9282

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NPI Details

HOSPITAL DENTISTRY PC is a pediatric dentistry dentist in Winder, GA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. HOSPITAL DENTISTRY PC NPI is 1093560690. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

316 N BROAD ST
WINDER, GA
ZIP 30680-150
Phone: (770) 826-9282

The provider's authorized official is Terry W. Holder .
The authorized official title is Authorized Official and has the following contact phone number (770) 826-9282.

The enumeration date for this NPI number is 4/18/2024 and was last updated on 4/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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