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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

SOUTHLAND CHILDRENS DENTISTRY BAINBRIDGE LLC
NPI 1780505792
Dentist - Pediatric Dentistry in Bainbridge, GA

Active since July 24, 2026
1503 E SHOTWELL ST., BAINBRIDGE, GA 39819(229) 246-6372(260) 529-7745 Get Directions Write a Review

NPPES record added: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southland Childrens Dentistry Bainbridge Llc NPPES

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

SOUTHLAND CHILDRENS DENTISTRY BAINBRIDGE LLC (NPI 1780505792) is a healthcare organization registered as a pediatric dentistry in Bainbridge, Georgia and active in the NPI registry since July 2026. The organization lists Kenneth S Sellers, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1780505792
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSOUTHLAND CHILDRENS DENTISTRY BAINBRIDGE LLC
Location Address1503 E SHOTWELL ST.Bainbridge, GA 39819-4255
Mailing Address1503 E Shotwell St.Bainbridge, GA 39819-4255 · (229) 246-6372 · Fax (260) 529-7745
Phone(229) 246-6372
Fax(260) 529-7745
Organization SubpartNo
Authorized OfficialKenneth S SellersOwner/dentist · (229) 246-6372
Enumeration DateJuly 24, 2026
✔ NPI 1780505792 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.
1503 E SHOTWELL ST., Bainbridge, GA 39819
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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 Southland Childrens Dentistry Bainbridge LLC's NPI number?

The NPI number for Southland Childrens Dentistry Bainbridge LLC is 1780505792. It was assigned to this organization in the NPPES registry on July 24, 2026.

Where is Southland Childrens Dentistry Bainbridge LLC located?

Southland Childrens Dentistry Bainbridge LLC is located at 1503 E Shotwell St., Bainbridge, GA 39819. The listed phone number is (229) 246-6372.

What is Southland Childrens Dentistry Bainbridge LLC'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 Southland Childrens Dentistry Bainbridge LLC was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.