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COLUMBUS CHILDREN'S DENTISTRY, PC
NPI 1063828499
Dentist - Pediatric Dentistry in Columbus, GA

Active since July 07, 2014
4405 N STADIUM DR, SUITE B, COLUMBUS, GA 31909(706) 225-0444(706) 940-0008 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Columbus Children's Dentistry, Pc NPPES

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

COLUMBUS CHILDREN'S DENTISTRY, PC (NPI 1063828499) is a healthcare organization registered as a pediatric dentistry in Columbus, Georgia and active in the NPI registry since July 2014. The organization lists Matthew Lee Keller, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1063828499
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCOLUMBUS CHILDREN'S DENTISTRY, PC
Location Address4405 N STADIUM DR, SUITE BColumbus, GA 31909-1878
Mailing Address4405 N Stadium Dr, Suite BColumbus, GA 31909-1878 · (706) 225-0444 · Fax (706) 940-0008
Phone(706) 225-0444
Fax(706) 940-0008
Organization SubpartNo
Authorized OfficialMatthew Lee KellerDentist/owner · (706) 225-0444
Enumeration DateJuly 7, 2014
✔ NPI 1063828499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in GA · DN014428
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.
4405 N STADIUM DR, Columbus, GA 31909
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Other Identifiers 1

Medicaid003145601AGA

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

COLUMBUS ORAL & MAXILLOFACIAL SURGERY PC
Oral & Maxillofacial Surgery
4405 N STADIUM DR, SUITE A
COLUMBUS, GA 31909
Muscogee County (706) 507-0901
DR. JEFFREY M SERFF D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
4405 N STADIUM DR, SUITE B
COLUMBUS, GA 31909
Muscogee County (706) 507-0999

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 Columbus Children's Dentistry, PC's NPI number?

The NPI number for Columbus Children's Dentistry, PC is 1063828499. It was assigned to this organization in the NPPES registry on July 7, 2014.

Where is Columbus Children's Dentistry, PC located?

Columbus Children's Dentistry, PC is located at 4405 N Stadium Dr Suite B, Columbus, GA 31909. The listed phone number is (706) 225-0444.

What is Columbus Children's Dentistry, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Columbus Children's Dentistry, PC was last updated on July 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.