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WONDERLAND PEDIATRIC DENTISTRY, PC
NPI 1134521990
Dentist - Pediatric Dentistry in Roswell, GA

Active since September 23, 2014
1570 OLD ALABAMA RD STE 104, ROSWELL, GA 30076(678) 878-3711(678) 878-3714 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wonderland Pediatric Dentistry, Pc NPPES

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

WONDERLAND PEDIATRIC DENTISTRY, PC (NPI 1134521990) is a healthcare organization registered as a pediatric dentistry in Roswell, Georgia and active in the NPI registry since September 2014. The organization lists Karina Bogdasarova, Owner, as its authorized official.

NPPES Registry Identity

NPI1134521990
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWONDERLAND PEDIATRIC DENTISTRY, PC
Location Address1570 OLD ALABAMA RD STE 104Roswell, GA 30076-2108
Mailing Address1570 Old Alabama Rd Ste 104Roswell, GA 30076-2108 · (678) 878-3711 · Fax (678) 878-3714
Phone(678) 878-3711
Fax(678) 878-3714
Organization SubpartNo
Authorized OfficialKarina BogdasarovaOwner · (720) 404-8805
Enumeration DateSeptember 23, 2014
✔ NPI 1134521990 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 · DN 014759
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.
1570 OLD ALABAMA RD STE 104, Roswell, GA 30076
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Other Identifiers 1

Medicaid003146415GA

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

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

WONDERLAND PEDIATRIC DENTISTRY
Dentist (Pediatric Dentistry)
1570 OLD ALABAMA RD STE 104
ROSWELL, GA 30076
Fulton County (678) 878-3711

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 Wonderland Pediatric Dentistry, PC's NPI number?

The NPI number for Wonderland Pediatric Dentistry, PC is 1134521990. It was assigned to this organization in the NPPES registry on September 23, 2014.

Where is Wonderland Pediatric Dentistry, PC located?

Wonderland Pediatric Dentistry, PC is located at 1570 Old Alabama Rd Ste 104, Roswell, GA 30076. The listed phone number is (678) 878-3711.

What is Wonderland Pediatric 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 Wonderland Pediatric Dentistry, PC was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.