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SOUTH GEORGIA PEDIATRIC DENITSTRY
NPI 1104128263
Dentist - Pediatric Dentistry in Valdosta, GA

Active since November 23, 2010
3227 N OAK STREET EXT, SUITE A, VALDOSTA, GA 31605(229) 247-3200 Get Directions Write a Review

NPPES record last updated: February 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Georgia Pediatric Denitstry NPPES

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

SOUTH GEORGIA PEDIATRIC DENITSTRY (NPI 1104128263) is a healthcare organization registered as a pediatric dentistry in Valdosta, Georgia and active in the NPI registry since November 2010. The organization lists Joseph C Powell, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1104128263
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSGPC, PC
Location Address3227 N OAK STREET EXT, SUITE AValdosta, GA 31605-7416
Mailing Address3227 N Oak Street Ext, Suite AValdosta, GA 31605-7416 · (229) 247-3200
Phone(229) 247-3200
Organization SubpartNo
Authorized OfficialJoseph C PowellOwner/dentist · (229) 247-3200
Enumeration DateNovember 23, 2010
Last NPPES UpdateFebruary 1, 2016
✔ NPI 1104128263 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 · DN014976
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.
3227 N OAK STREET EXT, Valdosta, GA 31605
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Other Names 1

Doing Business AsSouth Georgia Pediatric Denitstry

Other Identifiers 3

Medicaid102640352AGA
Medicaid003162889BGA
Medicaid00917067BGA

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.

EDWIN L. LAMB D.M.D.
Dentist (Endodontics)
3227 N OAK STREET EXT, SUITE B
VALDOSTA, GA 31605
Lowndes County (229) 247-2300
EDWIN L. LAMB, D.M.D.,P.C.
Clinic/Center (Dental)
3227 N OAK STREET EXT, SUITE B
VALDOSTA, GA 31605
Lowndes County (229) 247-2300

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 Sgpc, PC's NPI number?

The NPI number for Sgpc, PC is 1104128263. It was assigned to this organization in the NPPES registry on November 23, 2010. The provider is doing business as South Georgia Pediatric Denitstry.

Where is Sgpc, PC located?

Sgpc, PC is located at 3227 N Oak Street Ext Suite A, Valdosta, GA 31605. The listed phone number is (229) 247-3200.

What is Sgpc, 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 Sgpc, PC was last updated on February 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.