ATHENS AREA PEDIATRIC DENTISTRY, P.C.
NPI 1598811739
Dentist - Pediatric Dentistry in Watkinsville, GA

Active since January 27, 2007
1091 PARK DR, STE A, WATKINSVILLE, GA 30677(706) 769-1994(706) 769-1997 Get Directions Write a Review

NPPES record last updated: January 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Athens Area Pediatric Dentistry, P.c. NPPES

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

ATHENS AREA PEDIATRIC DENTISTRY, P.C. (NPI 1598811739) is a healthcare organization registered as a pediatric dentistry in Watkinsville, Georgia and active in the NPI registry since January 2007. The organization lists Emily J. Bradley, Owner,dmd, as its authorized official.

NPPES Registry Identity

NPI1598811739
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameATHENS AREA PEDIATRIC DENTISTRY, P.C.
Location Address1091 PARK DR, STE AWatkinsville, GA 30677-2014
Mailing AddressPo Box 1619Watkinsville, GA 30677-0032 · (706) 769-1994 · Fax (706) 769-1997
Fax(706) 769-1997
Organization SubpartNo
Authorized OfficialEmily J. BradleyOwner,dmd · (706) 769-1994
Enumeration DateJanuary 27, 2007
Last NPPES UpdateJanuary 21, 2014
NPI 1598811739 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 · 010004
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.
1091 PARK DR, Watkinsville, GA 30677

Other Identifiers 1

Medicaid000300671JGA

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 7

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

Occupational Therapist
1091 PARK DR, SUITE B
WATKINSVILLE, GA 30677
Physical Therapist
1091 PARK DR, SUITE B
WATKINSVILLE, GA 30677
Dentist (Pediatric Dentistry)
1091 PARK DR, STE A
WATKINSVILLE, GA 30677
Speech-Language Pathologist
1091 PARK DR, SUITE B
WATKINSVILLE, GA 30677
Speech-Language Pathologist
1091 PARK DR, SUITE B
WATKINSVILLE, GA 30677
Speech-Language Pathologist
1091 PARK DR, SUITE B
WATKINSVILLE, GA 30677
Physical Therapist
1091 PARK DR, SUITE B
WATKINSVILLE, GA 30677

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 Athens Area Pediatric Dentistry, P.C.'s NPI number?

The NPI number for Athens Area Pediatric Dentistry, P.C. is 1598811739. It was assigned to this organization in the NPPES registry on January 27, 2007.

Where is Athens Area Pediatric Dentistry, P.C. located?

Athens Area Pediatric Dentistry, P.C. is located at 1091 Park Dr Ste A, Watkinsville, GA 30677. The listed phone number is (706) 769-1994.

What is Athens Area Pediatric Dentistry, P.C.'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 Athens Area Pediatric Dentistry, P.C. was last updated on January 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.