Provider Type Icon

PEDIATRIC DENTISTRY OF JOHNS CREEK LLC NPI 1538506720


NPI Information

NPI: 1538506720
Provider Name: PEDIATRIC DENTISTRY OF JOHNS CREEK, LLC

Doing Business As: PEDIATRIC DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
10475 MEDLOCK BRIDGE RD
501
JOHNS CREEK, GA
ZIP 30097
Phone: (678) 822-9818
Get Directions

PEDIATRIC DENTISTRY OF JOHNS CREEK, LLC is a pediatric dentistry dentist in Johns Creek, 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. PEDIATRIC DENTISTRY OF JOHNS CREEK, LLC NPI is 1538506720. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Dentistry.

The provider's business location address is:

10475 MEDLOCK BRIDGE RD
501
JOHNS CREEK, GA
ZIP 30097-433
Phone: (678) 822-9818
Fax: (678) 822-9820

The provider's authorized official is James Hicks .
The authorized official title is Owern/dentist and has the following contact phone number (678) 822-9818.

The enumeration date for this NPI number is 5/28/2013 and was last updated on 5/28/2013.


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 DentistryDN013896GEORGIAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.