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PEDIATRIC DENTAL SPECIALIST OF HIRAM
NPI 1245617364
Dentist - Pediatric Dentistry in Hiram, GA

Active since April 27, 2015
5604 WENDY BAGWELL PKWY, SUITE 1100, HIRAM, GA 30141(770) 943-0011 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dental Specialist Of Hiram NPPES

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

PEDIATRIC DENTAL SPECIALIST OF HIRAM (NPI 1245617364) is a healthcare organization registered as a pediatric dentistry in Hiram, Georgia and active in the NPI registry since April 2015. The organization lists Mindy Lynn Simms, President, as its authorized official.

NPPES Registry Identity

NPI1245617364
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL SPECIALIST OF HIRAM
Location Address5604 WENDY BAGWELL PKWY, SUITE 1100Hiram, GA 30141-7813
Mailing Address5604 Wendy Bagwell Pkwy, Suite 1100Hiram, GA 30141-7813 · (770) 943-0011
Phone(770) 943-0011
Organization SubpartNo
Authorized OfficialMindy Lynn SimmsPresident · (330) 289-6019
Enumeration DateApril 27, 2015
✔ NPI 1245617364 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 · DN013367
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.
5604 WENDY BAGWELL PKWY, Hiram, GA 30141
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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 14

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

JOHN MARLIN WARREN CNMT
Radiologic Technologist (Nuclear Medicine Technology)
5604 WENDY BAGWELL PKWY, SUITE 911
HIRAM, GA 30141
Paulding County (678) 384-1711
SYNERGY HOMECARE OF NW ATLANTA
In Home Supportive Care
5604 WENDY BAGWELL PKWY, SUITE 321
HIRAM, GA 30141
Paulding County (678) 909-3043
BYRON T BARNES NMTCB
Radiologic Technologist (Nuclear Medicine Technology)
5604 WENDY BAGWELL PKWY
HIRAM, GA 30141
Paulding County (678) 384-1711
ANDRE T AYERS NMTCB
Radiologic Technologist (Nuclear Medicine Technology)
5604 WENDY BAGWELL PKWY
HIRAM, GA 30141
Paulding County (678) 384-1711
EMPOWERED2CHANGE LLC
Social Worker (Clinical)
5604 WENDY BAGWELL PKWY, SUITE 812
HIRAM, GA 30141
Paulding County (678) 602-9709
PINNACLE PEDIATRICS PC
Pediatrics
5604 WENDY BAGWELL PKWY, SUITE 1111
HIRAM, GA 30141
Paulding County (678) 944-0060
ANDREA BATTAGLIA LSCW
Counselor (Mental Health)
5604 WENDY BAGWELL PKWY, SUITE 411
HIRAM, GA 30141
Paulding County (404) 246-7470
PREMIER INTERNAL MEDICINE
Internal Medicine
5604 WENDY BAGWELL PKWY, STE 711
HIRAM, GA 30141
Paulding County (678) 384-0800

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 Dental Specialist Of Hiram's NPI number?

The NPI number for Pediatric Dental Specialist Of Hiram is 1245617364. It was assigned to this organization in the NPPES registry on April 27, 2015.

Where is Pediatric Dental Specialist Of Hiram located?

Pediatric Dental Specialist Of Hiram is located at 5604 Wendy Bagwell Pkwy Suite 1100, Hiram, GA 30141. The listed phone number is (770) 943-0011.

What is Pediatric Dental Specialist Of Hiram'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 Dental Specialist Of Hiram was last updated on April 27, 2015. 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.