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ROSWELL PEDIATRIC DENTISTRY PC
NPI 1568636405
Dentist - Pediatric Dentistry in Roswell, GA

Active since April 22, 2008
10930 CRABAPPLE RD STE 106, ROSWELL, GA 30075(678) 763-2600(678) 893-0459 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roswell Pediatric Dentistry Pc NPPES

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

ROSWELL PEDIATRIC DENTISTRY PC (NPI 1568636405) is a healthcare organization registered as a pediatric dentistry in Roswell, Georgia and active in the NPI registry since April 2008. The organization lists Vishant Nath, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1568636405
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameROSWELL PEDIATRIC DENTISTRY PC
Location Address10930 CRABAPPLE RD STE 106Roswell, GA 30075-5825
Mailing Address10930 Crabapple Rd Ste 106Roswell, GA 30075-5825 · (678) 763-2600 · Fax (678) 893-0459
Phone(678) 763-2600
Fax(678) 893-0459
Organization SubpartNo
Authorized OfficialVishant NathOwner/dentist · (678) 763-2600
Enumeration DateApril 22, 2008
✔ NPI 1568636405 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 · DN013057
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.
10930 CRABAPPLE RD STE 106, Roswell, GA 30075
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Other Identifiers 1

Medicaid761564386GA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

PD ORTHO LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
10930 CRABAPPLE RD STE 106
ROSWELL, GA 30075
Fulton County (770) 651-1000
DR. BEHNAZ YAVARI DMD, ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
10930 CRABAPPLE RD STE 106
ROSWELL, GA 30075
Fulton County (770) 861-7780

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 Roswell Pediatric Dentistry PC's NPI number?

The NPI number for Roswell Pediatric Dentistry PC is 1568636405. It was assigned to this organization in the NPPES registry on April 22, 2008.

Where is Roswell Pediatric Dentistry PC located?

Roswell Pediatric Dentistry PC is located at 10930 Crabapple Rd Ste 106, Roswell, GA 30075. The listed phone number is (678) 763-2600.

What is Roswell Pediatric Dentistry PC's specialty?

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

What insurance does Roswell Pediatric Dentistry PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Roswell Pediatric Dentistry PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roswell Pediatric Dentistry PC was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.