PARKSIDE PEDIATRIC AND ORTHODONTIC CARE INC
NPI 1366125395
Dentist - Pediatric Dentistry in Fayetteville, GA

Q: What is Parkside Pediatric And Orthodontic Care Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since August 08, 2023

155 CARNEGIE PL STE 201A, FAYETTEVILLE, GA 30214(678) 228-4266(404) 521-4120 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Parkside Pediatric And Orthodontic Care Inc NPPES

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

PARKSIDE PEDIATRIC AND ORTHODONTIC CARE INC (NPI 1366125395) is a healthcare organization registered as a pediatric dentistry in Fayetteville, Georgia and active in the NPI registry since August 2023. The organization lists Tarvoria Russ, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1366125395

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePARKSIDE PEDIATRIC AND ORTHODONTIC CARE INC

Location Address155 CARNEGIE PL STE 201AFayetteville, GA 30214-3981

Mailing Address155 Carnegie Pl Ste 201aFayetteville, GA 30214-3981 · (678) 228-4266 · Fax (404) 521-4120

Phone(678) 228-4266

Fax(404) 521-4120

Organization SubpartNo

Authorized OfficialTarvoria RussOperations Manager · (404) 631-7303

Enumeration DateAugust 8, 2023

NPPES CertifiedAugust 8, 2023

✔ NPI 1366125395 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.

155 CARNEGIE PL STE 201A, Fayetteville, GA 30214

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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

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 Parkside Pediatric And Orthodontic Care Inc's NPI number?

The NPI number for Parkside Pediatric And Orthodontic Care Inc is 1366125395. It was assigned to this organization in the NPPES registry on August 8, 2023.

Where is Parkside Pediatric And Orthodontic Care Inc located?

Parkside Pediatric And Orthodontic Care Inc is located at 155 Carnegie Pl Ste 201A, Fayetteville, GA 30214. The listed phone number is (678) 228-4266.

What is Parkside Pediatric And Orthodontic Care Inc'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 Parkside Pediatric And Orthodontic Care Inc was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.