SOUTH GEORGIA PEDIATRIC DENTISTRY
NPI 1265921837
Dentist - Pediatric Dentistry in Valdosta, GA

Q: What is Southland Childrens Dentistry Valdosta, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since May 09, 2018

3227 N OAK STREET EXT STE A, VALDOSTA, GA 31605(229) 247-3200(229) 241-1900 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About South Georgia Pediatric Dentistry NPPES

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

SOUTH GEORGIA PEDIATRIC DENTISTRY (NPI 1265921837) is a healthcare organization registered as a pediatric dentistry in Valdosta, Georgia and active in the NPI registry since May 2018. The organization lists Wendy Davis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1265921837

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameSOUTHLAND CHILDRENS DENTISTRY VALDOSTA, LLC

Location Address3227 N OAK STREET EXT STE AValdosta, GA 31605-7415

Mailing Address3227 N Oak Street Ext Ste AValdosta, GA 31605-7415 · (229) 247-3200 · Fax (229) 241-1900

Phone(229) 247-3200

Fax(229) 241-1900

Organization SubpartNo

Authorized OfficialWendy DavisOffice Manager · (229) 247-3200

Enumeration DateMay 9, 2018

✔ NPI 1265921837 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 · DN014813

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.

3227 N OAK STREET EXT STE A, Valdosta, GA 31605

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Other Names 1

Doing Business AsSouth Georgia Pediatric Dentistry

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southland Childrens Dentistry Valdosta, LLC's NPI number?

The NPI number for Southland Childrens Dentistry Valdosta, LLC is 1265921837. It was assigned to this organization in the NPPES registry on May 9, 2018. The provider is doing business as South Georgia Pediatric Dentistry.

Where is Southland Childrens Dentistry Valdosta, LLC located?

Southland Childrens Dentistry Valdosta, LLC is located at 3227 N Oak Street Ext Ste A, Valdosta, GA 31605. The listed phone number is (229) 247-3200.

What is Southland Childrens Dentistry Valdosta, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Southland Childrens Dentistry Valdosta, LLC accept?

Health plans from UnitedHealthcare list Southland Childrens Dentistry Valdosta, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southland Childrens Dentistry Valdosta, LLC was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.