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PEDIATRIC DENTISTRY OF NEWNAN, LLC
NPI 1336900166
Dentist - Pediatric Dentistry in Newnan, GA

Active since January 18, 2024
2401 NEWNAN CROSSING BLVD E STE 210, NEWNAN, GA 30265(770) 251-5777 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Dentistry Of Newnan, Llc NPPES

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

PEDIATRIC DENTISTRY OF NEWNAN, LLC (NPI 1336900166), doing business as Pediatric Dentistry Of Newnan, is a healthcare organization registered as a pediatric dentistry in Newnan, Georgia and active in the NPI registry since January 2024. The organization lists Jenny Garcia Rocha, Sr Team Lead, as its authorized official.

NPPES Registry Identity

NPI1336900166
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF NEWNAN, LLC
Location Address2401 NEWNAN CROSSING BLVD E STE 210Newnan, GA 30265-2409
Mailing Address2401 Newnan Crossing Blvd E Ste 210Newnan, GA 30265-2409 · (770) 251-5777
Phone(770) 251-5777
Organization SubpartNo
Authorized OfficialJenny Garcia RochaSr Team Lead · (972) 836-9378
Enumeration DateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1336900166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2401 NEWNAN CROSSING BLVD E STE 210, Newnan, GA 30265
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Other Names 1

Doing Business AsPediatric Dentistry Of Newnan

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

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

MRS. ARLENE D SOBERANO DMD
Dentist
2401 NEWNAN CROSSING BLVD E STE 210
NEWNAN, GA 30265
Coweta County (770) 251-5777

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 Dentistry Of Newnan, LLC's NPI number?

The NPI number for Pediatric Dentistry Of Newnan, LLC is 1336900166. It was assigned to this organization in the NPPES registry on January 18, 2024. The provider is doing business as Pediatric Dentistry of Newnan.

Where is Pediatric Dentistry Of Newnan, LLC located?

Pediatric Dentistry Of Newnan, LLC is located at 2401 Newnan Crossing Blvd E Ste 210, Newnan, GA 30265. The listed phone number is (770) 251-5777.

What is Pediatric Dentistry Of Newnan, 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 Pediatric Dentistry Of Newnan, LLC was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.