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BLOSSOM PEDIATRIC DENTISTRY, LLC
NPI 1164145827
Dentist - Pediatric Dentistry in Suwanee, GA

Active since September 19, 2022
345 PEACHTREE INDUSTRIAL BLVD STE 1102-1103, SUWANEE, GA 30024(770) 609-5603 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blossom Pediatric Dentistry, Llc NPPES

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

BLOSSOM PEDIATRIC DENTISTRY, LLC (NPI 1164145827) is a healthcare organization registered as a pediatric dentistry in Suwanee, Georgia and active in the NPI registry since September 2022. The organization lists Whitney Lyons, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1164145827
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBLOSSOM PEDIATRIC DENTISTRY, LLC
Location Address345 PEACHTREE INDUSTRIAL BLVD STE 1102-1103Suwanee, GA 30024-8819
Mailing Address345 Peachtree Industrial Blvd Ste 1102Suwanee, GA 30024-8823 · (770) 609-4722
Phone(770) 609-5603
Organization SubpartNo
Authorized OfficialWhitney LyonsOwner/dentist · (770) 609-5603
Enumeration DateSeptember 19, 2022
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
✔ NPI 1164145827 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.

345 PEACHTREE INDUSTRIAL BLVD STE 1102-1103, Suwanee, GA 30024
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Other Identifiers 1

Other1811302474GA · Individual Npi

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions

What is BLOSSOM PEDIATRIC DENTISTRY, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1164145827, enumerated as an "organization" on September 19, 2022.

Where is the provider located?

The provider is located at 345 PEACHTREE INDUSTRIAL BLVD STE 1102-1103 SUWANEE, GA 30024 and the phone number is (770) 609-5603.

What is the provider's specialty?

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

What insurance does BLOSSOM PEDIATRIC DENTISTRY, LLC accept?

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.