DENTISTRY FOR CHILDREN OF JONESBORO, LLC
NPI 1083915896
Dentist - Pediatric Dentistry in Jonesboro, GA

Active since November 10, 2010
435 ARROWHEAD BLVD, JONESBORO, GA 30236(770) 478-8400(770) 473-8766 Get Directions Write a Review

NPPES record last updated: November 10, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dentistry For Children Of Jonesboro, Llc NPPES

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

DENTISTRY FOR CHILDREN OF JONESBORO, LLC (NPI 1083915896) is a healthcare organization registered as a pediatric dentistry in Jonesboro, Georgia and active in the NPI registry since November 2010. The organization lists Charles Coulter, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1083915896
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameDENTISTRY FOR CHILDREN OF JONESBORO, LLC
Location Address435 ARROWHEAD BLVDJonesboro, GA 30236-1219
Mailing Address295 Country Club DrStockbridge, GA 30281-7350 · (770) 473-1350 · Fax (770) 692-0098
Fax(770) 473-8766
Organization SubpartNo
Authorized OfficialCharles CoulterPediatric Dentist · (770) 473-1350
Enumeration DateNovember 10, 2010
NPI 1083915896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X
435 ARROWHEAD BLVD, Jonesboro, GA 30236

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

Other Providers at the Same Location NPPES 6

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

Dentist (General Practice)
435 ARROWHEAD BLVD
JONESBORO, GA 30236
Dentist (Pediatric Dentistry)
435 ARROWHEAD BLVD
JONESBORO, GA 30236
Dentist (Pediatric Dentistry)
435 ARROWHEAD BLVD
JONESBORO, GA 30236
Dentist (General Practice)
435 ARROWHEAD BLVD, SUITE 100
JONESBORO, GA 30236
Dentist
435 ARROWHEAD BLVD, STE 100
JONESBORO, GA 30236
Dentist (Pediatric Dentistry)
435 ARROWHEAD BLVD
JONESBORO, GA 30236

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 Dentistry For Children Of Jonesboro, LLC's NPI number?

The NPI number for Dentistry For Children Of Jonesboro, LLC is 1083915896. It was assigned to this organization in the NPPES registry on November 10, 2010.

Where is Dentistry For Children Of Jonesboro, LLC located?

Dentistry For Children Of Jonesboro, LLC is located at 435 Arrowhead Blvd, Jonesboro, GA 30236. The listed phone number is (770) 478-8400.

What is Dentistry For Children Of Jonesboro, 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 Dentistry For Children Of Jonesboro, LLC was last updated on November 10, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.