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CHILDRENS DENTISTRY OF LITHONIA LLC
NPI 1730348210
Clinic/Center - Dental in Stone Mountain, GA

Active since June 09, 2008
374 C NORTH DESHON ROAD, STONE MOUNTAIN, GA 30087(770) 469-4192(770) 469-4195 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Childrens Dentistry Of Lithonia Llc NPPES

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

CHILDRENS DENTISTRY OF LITHONIA LLC (NPI 1730348210) is a healthcare organization registered as a dental in Stone Mountain, Georgia and active in the NPI registry since June 2008. The organization lists Adesegun Olushola Tewogbade, Owner, as its authorized official.

NPPES Registry Identity

NPI1730348210
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCHILDRENS DENTISTRY OF LITHONIA LLC
Location Address374 C NORTH DESHON ROADStone Mountain, GA 30087
Mailing AddressPo Box 870272Stone Mountain, GA 30087-0007 · (770) 469-4192 · Fax (770) 469-4195
Phone(770) 469-4192
Fax(770) 469-4195
Organization SubpartNo
Authorized OfficialAdesegun Olushola TewogbadeOwner · (770) 469-4192
Enumeration DateJune 9, 2008
✔ NPI 1730348210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in GA · DN013400
374 C NORTH DESHON ROAD, Stone Mountain, GA 30087
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Other Identifiers 2

Medicaid853805701AGA
Other1952449944Individual Npi

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 Childrens Dentistry Of Lithonia LLC's NPI number?

The NPI number for Childrens Dentistry Of Lithonia LLC is 1730348210. It was assigned to this organization in the NPPES registry on June 9, 2008.

Where is Childrens Dentistry Of Lithonia LLC located?

Childrens Dentistry Of Lithonia LLC is located at 374 C North Deshon Road, Stone Mountain, GA 30087. The listed phone number is (770) 469-4192.

What is Childrens Dentistry Of Lithonia LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Childrens Dentistry Of Lithonia LLC was last updated on June 9, 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.