PEDIATRIC DENTAL SPECIALISTS OF GEORGIA, PC
NPI 1346990108
Dentist - Pediatric Dentistry in Decatur, GA

Active since March 25, 2022
315 W PONCE DE LEON AVE STE 200, DECATUR, GA 30030(404) 381-1840(404) 341-9488 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dental Specialists Of Georgia, Pc NPPES

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

PEDIATRIC DENTAL SPECIALISTS OF GEORGIA, PC (NPI 1346990108) is a healthcare organization registered as a pediatric dentistry in Decatur, Georgia and active in the NPI registry since March 2022. The organization lists Laneshia Camp, Officer, as its authorized official.

NPPES Registry Identity

NPI1346990108
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL SPECIALISTS OF GEORGIA, PC
Location Address315 W PONCE DE LEON AVE STE 200Decatur, GA 30030-2483
Mailing Address315 W Ponce De Leon Ave Ste 200Decatur, GA 30030-2483 · (404) 381-1840 · Fax (404) 341-9488
Fax(404) 341-9488
Organization SubpartNo
Authorized OfficialLaneshia CampOfficer · (404) 822-6865
Enumeration DateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
NPI 1346990108 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.
315 W PONCE DE LEON AVE STE 200, Decatur, GA 30030

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.

Dentist (Pediatric Dentistry)
315 W PONCE DE LEON AVE STE 200
DECATUR, GA 30030

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 Dental Specialists Of Georgia, PC's NPI number?

The NPI number for Pediatric Dental Specialists Of Georgia, PC is 1346990108. It was assigned to this organization in the NPPES registry on March 25, 2022.

Where is Pediatric Dental Specialists Of Georgia, PC located?

Pediatric Dental Specialists Of Georgia, PC is located at 315 W Ponce De Leon Ave Ste 200, Decatur, GA 30030. The listed phone number is (404) 381-1840.

What is Pediatric Dental Specialists Of Georgia, PC'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 Dental Specialists Of Georgia, PC was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.