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CHILDREN'S DENTISTRY OF LAWRENCEVILLE
NPI 1316434095
Dentist - Pediatric Dentistry in Lawrenceville, GA

Active since April 18, 2018
4850 SUGARLOAF PARKWAY, STE 611, LAWRENCEVILLE, GA 30044(470) 299-3999(678) 691-9589 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Children's Dentistry Of Lawrenceville NPPES

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

CHILDREN'S DENTISTRY OF LAWRENCEVILLE (NPI 1316434095) is a healthcare organization registered as a pediatric dentistry in Lawrenceville, Georgia and active in the NPI registry since April 2018. The organization lists Adesegun Olushola Tewogbade, Pediatric Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1316434095
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDREN'S DENTISTRY OF LITHONIA, LLC
Location Address4850 SUGARLOAF PARKWAY, STE 611Lawrenceville, GA 30044
Mailing Address4850 Sugarloaf Parkway, Ste 611Lawrenceville, GA 30044 · (470) 299-3999 · Fax (678) 691-9589
Phone(470) 299-3999
Fax(678) 691-9589
Organization SubpartYes
Authorized OfficialAdesegun Olushola TewogbadePediatric Dentist/owner · (770) 584-5267
Enumeration DateApril 18, 2018
✔ NPI 1316434095 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 · DN013400
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.
4850 SUGARLOAF PARKWAY, Lawrenceville, GA 30044
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Other Names 1

Doing Business AsChildren's Dentistry Of Lawrenceville

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 Lithonia, LLC's NPI number?

The NPI number for Children's Dentistry Of Lithonia, LLC is 1316434095. It was assigned to this organization in the NPPES registry on April 18, 2018. The provider is doing business as Children's Dentistry Of Lawrenceville.

Where is Children's Dentistry Of Lithonia, LLC located?

Children's Dentistry Of Lithonia, LLC is located at 4850 Sugarloaf Parkway Ste 611, Lawrenceville, GA 30044. The listed phone number is (470) 299-3999.

What is Children's Dentistry Of Lithonia, 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 Children's Dentistry Of Lithonia, LLC was last updated on April 18, 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.