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PEDIATRIC DENTISTRY ASLEEP OF GEORGIA LLC
NPI 1104642685
Dentist - Pediatric Dentistry in Macon, GA

Active since November 29, 2024
888 PINE ST, MACON, GA 31201(412) 672-4077(412) 672-4570 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dentistry Asleep Of Georgia Llc NPPES

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

PEDIATRIC DENTISTRY ASLEEP OF GEORGIA LLC (NPI 1104642685) is a healthcare organization registered as a pediatric dentistry in Macon, Georgia and active in the NPI registry since November 2024. The organization lists Johnny Joseph, President, as its authorized official.

NPPES Registry Identity

NPI1104642685
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY ASLEEP OF GEORGIA LLC
Location Address888 PINE STMacon, GA 31201-2109
Mailing Address500 N Lewis Run Rd Ste 215aWest Mifflin, PA 15122-3009 · (412) 672-4077 · Fax (412) 672-4570
Phone(412) 672-4077
Fax(412) 672-4570
Organization SubpartYesParent: Pediatric Dentistry Asleep Group Llc
Authorized OfficialJohnny JosephPresident · (857) 200-3312
Enumeration DateNovember 29, 2024
NPPES CertifiedNovember 29, 2024
✔ NPI 1104642685 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.
888 PINE ST, Macon, GA 31201
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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

Other Providers at the Same Location NPPES 13

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

KENNEDY BROOKE OSBORNE
Nurse Practitioner (Pediatrics)
888 PINE ST
MACON, GA 31201
Bibb County (478) 633-1000
DR. HANNA LEE MD
Pediatrics
888 PINE ST
MACON, GA 31201
Bibb County (478) 633-5437
MRS. ALEXIS PASSMORE GRAY RN
Registered Nurse
888 PINE ST
MACON, GA 31201
Bibb County (478) 633-1556
JAMILA STAPLES MD
Pediatrics
888 PINE ST
MACON, GA 31201
Bibb County (678) 895-8585
JOSHUA SETH ELDER RN
Registered Nurse
888 PINE ST
MACON, GA 31201
Bibb County (478) 633-1556
MRS. AMANDA WRIGHT JONES SRNA
Nurse Anesthetist, Certified Registered
888 PINE ST
MACON, GA 31201
Bibb County (478) 633-1000
MARY CAROL KLETCKE RN
Registered Nurse (Neonatal Intensive Care)
888 PINE ST
MACON, GA 31201
Bibb County (478) 633-8175
JACQUELINE PEED
Nurse Practitioner (Family)
888 PINE ST
MACON, GA 31201
Bibb County (478) 633-5437

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 Asleep Of Georgia LLC's NPI number?

The NPI number for Pediatric Dentistry Asleep Of Georgia LLC is 1104642685. It was assigned to this organization in the NPPES registry on November 29, 2024.

Where is Pediatric Dentistry Asleep Of Georgia LLC located?

Pediatric Dentistry Asleep Of Georgia LLC is located at 888 Pine St, Macon, GA 31201. The listed phone number is (412) 672-4077.

What is Pediatric Dentistry Asleep Of Georgia 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 Asleep Of Georgia LLC was last updated on November 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.