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PEACHTREE CHILDREN'S DENTISTRY
NPI 1770754772
Dentist - Pediatric Dentistry in Duluth, GA

Active since March 18, 2008
3820 PLEASANT HILL RD, SUITE 1, DULUTH, GA 30096(770) 497-0110(770) 497-0580 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peachtree Children's Dentistry NPPES

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

PEACHTREE CHILDREN'S DENTISTRY (NPI 1770754772) is a healthcare organization registered as a pediatric dentistry in Duluth, Georgia and active in the NPI registry since March 2008. The organization lists Nameun Nancy Kil, Doctor/business Owner, as its authorized official.

NPPES Registry Identity

NPI1770754772
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEACHTREE CHILDREN'S DENTISTRY
Location Address3820 PLEASANT HILL RD, SUITE 1Duluth, GA 30096
Mailing Address3820 Pleasant Hill Rd, Suite 1Duluth, GA 30096 · (770) 497-0110 · Fax (770) 497-0580
Phone(770) 497-0110
Fax(770) 497-0580
Organization SubpartNo
Authorized OfficialNameun Nancy KilDoctor/business Owner · (770) 497-0110
Enumeration DateMarch 18, 2008
Last NPPES UpdateJune 14, 2019
✔ NPI 1770754772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in GA · DNO12595✔ Licensed in GA · DNO12519
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.
3820 PLEASANT HILL RD, SUITE 1, Duluth, GA 30096
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Other Identifiers 2

Medicaid000949616BGA
Medicaid000947944BGA

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 MULTIPLE 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 Peachtree Children's Dentistry's NPI number?

The NPI number for Peachtree Children's Dentistry is 1770754772. It was assigned to this organization in the NPPES registry on March 18, 2008.

Where is Peachtree Children's Dentistry located?

Peachtree Children's Dentistry is located at 3820 Pleasant Hill Rd, Suite 1, Duluth, GA 30096. The listed phone number is (770) 497-0110.

What is Peachtree Children's Dentistry'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 Peachtree Children's Dentistry was last updated on June 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.