1. Home
  2. Directory
  3. Georgia
  4. Jefferson
  5. Dentist
  6. NPI Profile

SWEET MAPLE PEDIATRIC DENTISTRY PC
NPI 1639899065
Dentist - Pediatric Dentistry in Jefferson, GA

Active since August 29, 2022
56 HAWKINS LN, JEFFERSON, GA 30549(770) 653-3740 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sweet Maple Pediatric Dentistry Pc NPPES

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

SWEET MAPLE PEDIATRIC DENTISTRY PC (NPI 1639899065) is a healthcare organization registered as a pediatric dentistry in Jefferson, Georgia and active in the NPI registry since August 2022. The organization maintains a secondary practice location in Jefferson and lists Kayla A Newton, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1639899065
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSWEET MAPLE PEDIATRIC DENTISTRY PC
Location Address56 HAWKINS LNJefferson, GA 30549-5476
Mailing Address3251 Lost Meadows LnBuford, GA 30519-8451 · (770) 653-3740
Phone(770) 653-3740
Organization SubpartNo
Authorized OfficialKayla A NewtonPediatric Dentist · (770) 653-3740
Enumeration DateAugust 29, 2022
NPPES CertifiedAugust 27, 2022
✔ NPI 1639899065 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.
56 HAWKINS LN, Jefferson, GA 30549
Open in Google Maps ↗

Secondary Practice Location 1

Location 11363 Old Pendergrass Rd Ste 210Jefferson, GA 30549-2790 · Phone (770) 653-3740

Other Identifiers 1

Medicaid1922462613GA

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

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 Sweet Maple Pediatric Dentistry PC's NPI number?

The NPI number for Sweet Maple Pediatric Dentistry PC is 1639899065. It was assigned to this organization in the NPPES registry on August 29, 2022.

Where is Sweet Maple Pediatric Dentistry PC located?

Sweet Maple Pediatric Dentistry PC is located at 56 Hawkins Ln, Jefferson, GA 30549. The listed phone number is (770) 653-3740.

What is Sweet Maple Pediatric Dentistry PC'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 Sweet Maple Pediatric Dentistry PC was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.