DENTISTRY FOR CHILDREN OF MCDONOUGH, LLC
NPI 1295036028
Dentist - Pediatric Dentistry in Mcdonough, GA

Active since November 10, 2010
1409 HIGHWAY 20 W, MCDONOUGH, GA 30253(770) 692-1000(770) 692-0864 Get Directions Write a Review

NPPES record last updated: November 10, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dentistry For Children Of Mcdonough, Llc NPPES

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

DENTISTRY FOR CHILDREN OF MCDONOUGH, LLC (NPI 1295036028) is a healthcare organization registered as a pediatric dentistry in Mcdonough, Georgia and active in the NPI registry since November 2010. The organization lists Charles Coulter, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1295036028
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameDENTISTRY FOR CHILDREN OF MCDONOUGH, LLC
Location Address1409 HIGHWAY 20 WMcdonough, GA 30253-7306
Mailing Address295 Country Club DrStockbridge, GA 30281-7350 · (770) 473-1350 · Fax (770) 692-0098
Fax(770) 692-0864
Organization SubpartNo
Authorized OfficialCharles CoulterPediatric Dentist · (770) 473-1350
Enumeration DateNovember 10, 2010
NPI 1295036028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
1409 HIGHWAY 20 W, Mcdonough, GA 30253

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Dentist (Orthodontics and Dentofacial Orthopedics)
1409 HIGHWAY 20 W
MCDONOUGH, GA 30253

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 Dentistry For Children Of Mcdonough, LLC's NPI number?

The NPI number for Dentistry For Children Of Mcdonough, LLC is 1295036028. It was assigned to this organization in the NPPES registry on November 10, 2010.

Where is Dentistry For Children Of Mcdonough, LLC located?

Dentistry For Children Of Mcdonough, LLC is located at 1409 Highway 20 W, Mcdonough, GA 30253. The listed phone number is (770) 692-1000.

What is Dentistry For Children Of Mcdonough, LLC'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 Dentistry For Children Of Mcdonough, LLC was last updated on November 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.