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CHILDRENS DENTAL VILLAGE, LLC
NPI 1356749964
Dentist - Pediatric Dentistry in Roswell, GA

Active since December 12, 2014
9420 WILLEO RD, SUITE 104, ROSWELL, GA 30075(678) 352-8108(678) 352-8107 Get Directions Write a Review

NPPES record last updated: December 22, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Childrens Dental Village, Llc NPPES

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

CHILDRENS DENTAL VILLAGE, LLC (NPI 1356749964) is a healthcare organization registered as a pediatric dentistry in Roswell, Georgia and active in the NPI registry since December 2014. The organization lists Priya Madhiwala, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1356749964
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDRENS DENTAL VILLAGE, LLC
Location Address9420 WILLEO RD, SUITE 104Roswell, GA 30075-6772
Mailing Address9420 Willeo Rd, Suite 104Roswell, GA 30075-6772 · (678) 352-8108 · Fax (678) 352-8107
Phone(678) 352-8108
Fax(678) 352-8107
Organization SubpartNo
Authorized OfficialPriya MadhiwalaDentist/owner · (678) 352-8108
Enumeration DateDecember 12, 2014
Last NPPES UpdateDecember 22, 2014
✔ NPI 1356749964 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 · DN014199
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.

9420 WILLEO RD, Roswell, GA 30075
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Other Identifiers 2

Other1861641698GA · Individual Npi
Medicaid003106680GA

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 3

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

FITMED WELLNESS, LLC
General Practice
9420 WILLEO RD, SUITE 206
ROSWELL, GA 30075
Fulton County (770) 552-3232
NORTH FULTON PRIMARY CARE-WILLEO ROAD, LLC
Family Medicine
9420 WILLEO RD, SUITE 206
ROSWELL, GA 30075
Fulton County (470) 235-4859
INDEPENDENT PHYSICAL THERAPY OF GA, LLC
Physical Therapist
9420 WILLEO RD, STE 202
ROSWELL, GA 30075
Fulton County (770) 594-7250

Frequently Asked Questions

What is CHILDRENS DENTAL VILLAGE, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1356749964, enumerated as an "organization" on December 12, 2014.

Where is the provider located?

The provider is located at 9420 WILLEO RD SUITE 104 ROSWELL, GA 30075 and the phone number is (678) 352-8108.

What is the provider's specialty?

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

What insurance does CHILDRENS DENTAL VILLAGE, LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.