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PEDIATRIC SMILE STUDIO
NPI 1619313384
Dentist - Pediatric Dentistry in Marietta, GA

Active since May 21, 2013
2526 SHALLOWFORD RD, SUITE C, MARIETTA, GA 30066(678) 813-0500(678) 813-0600 Get Directions Write a Review

NPPES record last updated: May 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Smile Studio NPPES

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

PEDIATRIC SMILE STUDIO (NPI 1619313384) is a healthcare organization registered as a pediatric dentistry in Marietta, Georgia and active in the NPI registry since May 2013. The organization lists Eileen Buckle, Dentist, as its authorized official.

NPPES Registry Identity

NPI1619313384
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC SMILE STUDIO
Location Address2526 SHALLOWFORD RD, SUITE CMarietta, GA 30066-3053
Mailing Address2526 Shallowford Rd, Suite CMarietta, GA 30066-3053 · (678) 813-0500 · Fax (678) 813-0600
Phone(678) 813-0500
Fax(678) 813-0600
Organization SubpartNo
Authorized OfficialEileen BuckleDentist · (678) 982-5130
Enumeration DateMay 21, 2013
✔ NPI 1619313384 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 · DN014232
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.
2526 SHALLOWFORD RD, Marietta, GA 30066
Open in Google Maps ↗

Other Identifiers 1

Medicaid003108300GA

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 UnitedHealthcare.Insurance ›

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.

DR. GERALD KRAUS D.C.
Chiropractor
2526 SHALLOWFORD RD, SUITE. D
MARIETTA, GA 30066
Cobb County (770) 928-2220
NW GA FAMILY PRACTICE,LLC
Family Medicine
2526 SHALLOWFORD RD, SUITE C
MARIETTA, GA 30066
Cobb County (770) 516-3500
DR. WALTER GLENN LEWIS DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
2526 SHALLOWFORD RD, SUITE A
MARIETTA, GA 30066
Cobb County (770) 924-7826

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 Pediatric Smile Studio's NPI number?

The NPI number for Pediatric Smile Studio is 1619313384. It was assigned to this organization in the NPPES registry on May 21, 2013.

Where is Pediatric Smile Studio located?

Pediatric Smile Studio is located at 2526 Shallowford Rd Suite C, Marietta, GA 30066. The listed phone number is (678) 813-0500.

What is Pediatric Smile Studio's specialty?

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

What insurance does Pediatric Smile Studio accept?

Health plans from UnitedHealthcare list Pediatric Smile Studio 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 Pediatric Smile Studio was last updated on May 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.