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WINDWARD PEDIATRIC DENTISTRY
NPI 1619013802
Dentist - Pediatric Dentistry in Alpharetta, GA

Active since January 29, 2007
11730 JONES BRIDGE RD, STE B, C, & D, ALPHARETTA, GA 30005(770) 344-0170(770) 344-0169 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Windward Pediatric Dentistry NPPES

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

WINDWARD PEDIATRIC DENTISTRY (NPI 1619013802) is a healthcare organization registered as a pediatric dentistry in Alpharetta, Georgia and active in the NPI registry since January 2007. The organization lists Yangsun Bak, President, as its authorized official.

NPPES Registry Identity

NPI1619013802
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWINDWARD PEDIATRIC DENTISTRY
Location Address11730 JONES BRIDGE RD, STE B, C, & DAlpharetta, GA 30005-5077
Mailing Address11730 Jones Bridge Rd, Ste B, C, & DAlpharetta, GA 30005-5077 · (770) 344-0170 · Fax (770) 344-0169
Phone(770) 344-0170
Fax(770) 344-0169
Organization SubpartNo
Authorized OfficialYangsun BakPresident · (770) 344-0170
Enumeration DateJanuary 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619013802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in GA · DN012678✔ Licensed in GA · DN012679
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.
11730 JONES BRIDGE RD, Alpharetta, GA 30005
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

SHIMLEY ENTERPRISES, LLC
Clinic/Center (Medical Specialty)
11730 JONES BRIDGE RD, SUITE E
JOHNS CREEK, GA 30005
Fulton County (770) 777-0790
DR. RACHEL KELESKE D.D.S.
Dentist (Pediatric Dentistry)
11730 JONES BRIDGE RD, STE. B, C, & D
ALPHARETTA, GA 30005
Fulton County (770) 344-0170
DR. YANG-SUN BAK D.D.S.
Dentist (Pediatric Dentistry)
11730 JONES BRIDGE RD, STE. B, C, & D
ALPHARETTA, GA 30005
Fulton County (770) 344-0170

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 Windward Pediatric Dentistry's NPI number?

The NPI number for Windward Pediatric Dentistry is 1619013802. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Windward Pediatric Dentistry located?

Windward Pediatric Dentistry is located at 11730 Jones Bridge Rd Ste B, C, & D, Alpharetta, GA 30005. The listed phone number is (770) 344-0170.

What is Windward Pediatric Dentistry'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 Windward Pediatric Dentistry was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.