PEDIATRIC SEDATION CENTER OF GA
NPI 1053034785
Dentist - Pediatric Dentistry in Lithonia, GA

Active since September 19, 2022
8180 MALL PKWY STE 810, LITHONIA, GA 30038(470) 395-2518(470) 243-7395 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 28, 2022, Nov 14, 2022, Sep 19, 2022 (3 updates tracked since 2022).

About Pediatric Sedation Center Of Ga NPPES

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

PEDIATRIC SEDATION CENTER OF GA (NPI 1053034785) is a healthcare organization registered as a pediatric dentistry in Lithonia, Georgia and active in the NPI registry since September 2022. The organization lists Serenthes Fields, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1053034785
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC SEDATION CENTER OF GA
Location Address8180 MALL PKWY STE 810Lithonia, GA 30038-6911
Mailing Address8180 Mall Pkwy Ste 810Lithonia, GA 30038-6911 · (470) 395-2518 · Fax (470) 243-7395
Fax(470) 243-7395
Organization SubpartNo
Authorized OfficialSerenthes FieldsCredentialing Specialist · (678) 599-2333
Enumeration DateSeptember 19, 2022
Last NPPES UpdateNovember 28, 20223 updates tracked since enumeration
NPPES CertifiedNovember 28, 2022
NPI 1053034785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
8180 MALL PKWY STE 810, Lithonia, GA 30038

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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)
8180 MALL PKWY STE 810
STONECREST, GA 30038

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 Pediatric Sedation Center Of Ga's NPI number?

The NPI number for Pediatric Sedation Center Of Ga is 1053034785. It was assigned to this organization in the NPPES registry on September 19, 2022.

Where is Pediatric Sedation Center Of Ga located?

Pediatric Sedation Center Of Ga is located at 8180 Mall Pkwy Ste 810, Lithonia, GA 30038. The listed phone number is (470) 395-2518.

What is Pediatric Sedation Center Of Ga's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Pediatric Sedation Center Of Ga accept?

Health plans from UnitedHealthcare list Pediatric Sedation Center Of Ga as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Sedation Center Of Ga was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.