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GA SPECIALTY DENTAL SERVICES II, PC
NPI 1376390005
Dentist - Pediatric Dentistry in Suwanee, GA

Active since May 01, 2024
1380 PEACHTREE INDUSTRIAL BLVD STE 150, SUWANEE, GA 30024(770) 614-8914 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ga Specialty Dental Services Ii, Pc NPPES

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

GA SPECIALTY DENTAL SERVICES II, PC (NPI 1376390005), doing business as Suwanee Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Suwanee, Georgia and active in the NPI registry since May 2024. The organization lists Charlotte Dasch, Director Of Cred And Prov Relations, as its authorized official.

NPPES Registry Identity

NPI1376390005
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameGA SPECIALTY DENTAL SERVICES II, PC
Location Address1380 PEACHTREE INDUSTRIAL BLVD STE 150Suwanee, GA 30024-3795
Mailing Address1610 54th Ave N Ste 205Nashville, TN 37209-1442 · (615) 678-0759
Phone(770) 614-8914
Organization SubpartYes
Authorized OfficialCharlotte DaschDirector Of Cred And Prov Relations · (504) 638-0303
Enumeration DateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1376390005 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.
1380 PEACHTREE INDUSTRIAL BLVD STE 150, Suwanee, GA 30024
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Other Names 1

Doing Business AsSuwanee Pediatric Dentistry

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

Other Providers at the Same Location NPPES

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

DR. SHELLEY DANIELLE WADE BERGANSKE D.M.D.
Dentist (Pediatric Dentistry)
1380 PEACHTREE INDUSTRIAL BLVD STE 150
SUWANEE, GA 30024
Gwinnett County (770) 614-8914

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 Ga Specialty Dental Services II, PC's NPI number?

The NPI number for Ga Specialty Dental Services II, PC is 1376390005. It was assigned to this organization in the NPPES registry on May 1, 2024. The provider is doing business as Suwanee Pediatric Dentistry.

Where is Ga Specialty Dental Services II, PC located?

Ga Specialty Dental Services II, PC is located at 1380 Peachtree Industrial Blvd Ste 150, Suwanee, GA 30024. The listed phone number is (770) 614-8914.

What is Ga Specialty Dental Services II, 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 Ga Specialty Dental Services II, PC was last updated on May 1, 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.