PEDIATRIC DENTAL SPECIALIST OF ACWORTH
NPI 1750270344
Dentist - Pediatric Dentistry in Dallas, GA

Active since June 30, 2025
10166 DALLAS ACWORTH HWY, SUITE 109, DALLAS, GA 30132(770) 230-7020 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Dental Specialist Of Acworth NPPES

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

PEDIATRIC DENTAL SPECIALIST OF ACWORTH (NPI 1750270344) is a healthcare organization registered as a pediatric dentistry in Dallas, Georgia and active in the NPI registry since June 2025. The organization lists Mindy L Simms, Owner / Dr, as its authorized official.

NPPES Registry Identity

NPI1750270344
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL SPECIALIST OF ACWORTH
Location Address10166 DALLAS ACWORTH HWY, SUITE 109Dallas, GA 30132
Mailing Address320 Lynn DrHiram, GA 30141-4639 · (330) 933-7280
Organization SubpartNo
Authorized OfficialMindy L SimmsOwner / Dr · (330) 933-7280
Enumeration DateJune 30, 2025
NPPES CertifiedJune 10, 2025
NPI 1750270344 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.
10166 DALLAS ACWORTH HWY, Dallas, GA 30132

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 Pediatric Dental Specialist Of Acworth's NPI number?

The NPI number for Pediatric Dental Specialist Of Acworth is 1750270344. It was assigned to this organization in the NPPES registry on June 30, 2025.

Where is Pediatric Dental Specialist Of Acworth located?

Pediatric Dental Specialist Of Acworth is located at 10166 Dallas Acworth Hwy Suite 109, Dallas, GA 30132. The listed phone number is (770) 230-7020.

What is Pediatric Dental Specialist Of Acworth'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 Pediatric Dental Specialist Of Acworth was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.