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

EAST ATLANTA PEDIATRIC DENTISTRY PC
NPI 1740688142
Dentist - Pediatric Dentistry in Atlanta, GA

Active since December 17, 2014
2646 GRESHAM RD SE, ATLANTA, GA 30316(404) 243-0929(404) 243-0928 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Atlanta Pediatric Dentistry Pc NPPES

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

EAST ATLANTA PEDIATRIC DENTISTRY PC (NPI 1740688142) is a healthcare organization registered as a pediatric dentistry in Atlanta, Georgia and active in the NPI registry since December 2014. The organization lists Teresa Jordan, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1740688142
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameEAST ATLANTA PEDIATRIC DENTISTRY PC
Location Address2646 GRESHAM RD SEAtlanta, GA 30316-4148
Mailing Address2646 Gresham Rd SeAtlanta, GA 30316-4148 · (404) 243-0929 · Fax (404) 243-0928
Phone(404) 243-0929
Fax(404) 243-0928
Organization SubpartNo
Authorized OfficialTeresa JordanDentist/owner · (404) 243-0929
Enumeration DateDecember 17, 2014
✔ NPI 1740688142 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 · DN012645
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.
2646 GRESHAM RD SE, Atlanta, GA 30316
Open in Google Maps ↗

Other Identifiers 2

Other1780888693GA · Nppes
OtherDN012645GA · Dental License

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

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

TERESA DANIELLE JORDAN DMD
Dentist (Pediatric Dentistry)
2646 GRESHAM RD SE
ATLANTA, GA 30316
Fulton County (404) 212-9060

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 East Atlanta Pediatric Dentistry PC's NPI number?

The NPI number for East Atlanta Pediatric Dentistry PC is 1740688142. It was assigned to this organization in the NPPES registry on December 17, 2014.

Where is East Atlanta Pediatric Dentistry PC located?

East Atlanta Pediatric Dentistry PC is located at 2646 Gresham Rd SE, Atlanta, GA 30316. The listed phone number is (404) 243-0929.

What is East Atlanta Pediatric Dentistry PC's specialty?

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

What insurance does East Atlanta Pediatric Dentistry PC accept?

Health plans from UnitedHealthcare list East Atlanta Pediatric Dentistry PC 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 East Atlanta Pediatric Dentistry PC was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.