CHILDREN'S DENTISTRY OF ROSWELL
NPI 1265668412
Dentist - Pediatric Dentistry in Roswell, GA

Active since June 02, 2009
12020 ETRIS RD, SUITE A100, ROSWELL, GA 30075(678) 445-5444(770) 874-0826 Get Directions Write a Review

NPPES record last updated: June 2, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Children's Dentistry Of Roswell NPPES

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

CHILDREN'S DENTISTRY OF ROSWELL (NPI 1265668412) is a healthcare organization registered as a pediatric dentistry in Roswell, Georgia and active in the NPI registry since June 2009. The organization lists Todd Asarch, Owner, as its authorized official.

NPPES Registry Identity

NPI1265668412
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDREN'S DENTISTRY OF ROSWELL
Location Address12020 ETRIS RD, SUITE A100Roswell, GA 30075-1402
Mailing AddressPo Box 161Woodstock, GA 30188-0161 · (678) 445-5444 · Fax (770) 874-0826
Fax(770) 874-0826
Organization SubpartNo
Authorized OfficialTodd AsarchOwner · (678) 445-5444
Enumeration DateJune 2, 2009
NPI 1265668412 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 · DN013251
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.
12020 ETRIS RD, Roswell, GA 30075

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

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 Children's Dentistry Of Roswell's NPI number?

The NPI number for Children's Dentistry Of Roswell is 1265668412. It was assigned to this organization in the NPPES registry on June 2, 2009.

Where is Children's Dentistry Of Roswell located?

Children's Dentistry Of Roswell is located at 12020 Etris Rd Suite A100, Roswell, GA 30075. The listed phone number is (678) 445-5444.

What is Children's Dentistry Of Roswell'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 Children's Dentistry Of Roswell was last updated on June 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.