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PEDIATRIC DENTISTRY OF CENTRAL GEORGIA - MACON LLC
NPI 1073083127
Dentist - Pediatric Dentistry in Macon, GA

Active since December 03, 2018
5437 BOWMAN RD STE 300, MACON, GA 31210(478) 333-3636 Get Directions Write a Review

NPPES record last updated: December 3, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pediatric Dentistry Of Central Georgia - Macon Llc NPPES

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

PEDIATRIC DENTISTRY OF CENTRAL GEORGIA - MACON LLC (NPI 1073083127) is a healthcare organization registered as a pediatric dentistry in Macon, Georgia and active in the NPI registry since December 2018. The organization lists Shannon Battle, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1073083127
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF CENTRAL GEORGIA - MACON LLC
Location Address5437 BOWMAN RD STE 300Macon, GA 31210-6575
Mailing Address900 Professional DrWarner Robins, GA 31088-0520 · (478) 333-3636
Phone(478) 333-3636
Organization SubpartNo
Authorized OfficialShannon BattlePractice Manager · (478) 333-3636
Enumeration DateDecember 3, 2018
✔ NPI 1073083127 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.
5437 BOWMAN RD STE 300, Macon, GA 31210
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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

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 Dentistry Of Central Georgia - Macon LLC's NPI number?

The NPI number for Pediatric Dentistry Of Central Georgia - Macon LLC is 1073083127. It was assigned to this organization in the NPPES registry on December 3, 2018.

Where is Pediatric Dentistry Of Central Georgia - Macon LLC located?

Pediatric Dentistry Of Central Georgia - Macon LLC is located at 5437 Bowman Rd Ste 300, Macon, GA 31210. The listed phone number is (478) 333-3636.

What is Pediatric Dentistry Of Central Georgia - Macon LLC'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 Pediatric Dentistry Of Central Georgia - Macon LLC was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.