DOGWOOD PEDIATRIC DENTISTRY OF POOLER, LLC
NPI 1396474458
Dentist - Pediatric Dentistry in Pooler, GA

Active since June 06, 2022
100 BLUE MOON XING STE 105, POOLER, GA 31322(912) 661-1391 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dogwood Pediatric Dentistry Of Pooler, Llc NPPES

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

DOGWOOD PEDIATRIC DENTISTRY OF POOLER, LLC (NPI 1396474458) is a healthcare organization registered as a pediatric dentistry in Pooler, Georgia and active in the NPI registry since June 2022. The organization lists Karen Stevens, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1396474458
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameDOGWOOD PEDIATRIC DENTISTRY OF POOLER, LLC
Location Address100 BLUE MOON XING STE 105Pooler, GA 31322-9809
Mailing Address203 Commonwealth AvePort Wentworth, GA 31407-1916 · (912) 661-1391
Organization SubpartNo
Authorized OfficialKaren StevensOffice Manager · (912) 661-1391
Enumeration DateJune 6, 2022
Last NPPES UpdateJune 16, 2022
NPPES CertifiedJune 16, 2022
NPI 1396474458 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.

100 BLUE MOON XING STE 105, Pooler, GA 31322

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 Dogwood Pediatric Dentistry Of Pooler, LLC's NPI number?

The NPI number for Dogwood Pediatric Dentistry Of Pooler, LLC is 1396474458. It was assigned to this organization in the NPPES registry on June 6, 2022.

Where is Dogwood Pediatric Dentistry Of Pooler, LLC located?

Dogwood Pediatric Dentistry Of Pooler, LLC is located at 100 Blue Moon Xing Ste 105, Pooler, GA 31322. The listed phone number is (912) 661-1391.

What is Dogwood Pediatric Dentistry Of Pooler, 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 Dogwood Pediatric Dentistry Of Pooler, LLC was last updated on June 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.