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CHASTAIN DENTAL GROUP LLC
NPI 1245041979
Clinic/Center - Dental in Atlanta, GA

Active since January 14, 2025
4920 ROSWELL RD STE 265, ATLANTA, GA 30342(404) 458-9908(404) 458-9905 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chastain Dental Group Llc NPPES

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

CHASTAIN DENTAL GROUP LLC (NPI 1245041979), doing business as Grin Gallery Pediatric Dentistry, is a healthcare organization registered as a dental in Atlanta, Georgia and active in the NPI registry since January 2025. The organization lists Donielle Williams, Pediatric Dentist / Owner, as its authorized official.

NPPES Registry Identity

NPI1245041979
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCHASTAIN DENTAL GROUP LLC
Location Address4920 ROSWELL RD STE 265Atlanta, GA 30342-2686
Mailing Address3921 Obryant Cir SeSmyrna, GA 30082-3906 · (404) 512-1889
Phone(404) 458-9908
Fax(404) 458-9905
Organization SubpartNo
Authorized OfficialDonielle WilliamsPediatric Dentist / Owner · (404) 458-9908
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1245041979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4920 ROSWELL RD STE 265, Atlanta, GA 30342
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Other Names 1

Doing Business AsGrin Gallery Pediatric Dentistry

Other Providers at the Same Location NPPES

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

DR. DONIELLE FA'NICE WILLIAMS DMD
Dentist (Pediatric Dentistry)
4920 ROSWELL RD STE 265
ATLANTA, GA 30342
Fulton County (404) 458-9908

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 Chastain Dental Group LLC's NPI number?

The NPI number for Chastain Dental Group LLC is 1245041979. It was assigned to this organization in the NPPES registry on January 14, 2025. The provider is doing business as Grin Gallery Pediatric Dentistry.

Where is Chastain Dental Group LLC located?

Chastain Dental Group LLC is located at 4920 Roswell Rd Ste 265, Atlanta, GA 30342. The listed phone number is (404) 458-9908.

What is Chastain Dental Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Chastain Dental Group LLC was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.