LITTLE RIVER FAMILY DENTAL
NPI 1790190056
Dentist - General Practice in Woodstock, GA

Active since June 25, 2014
12201 HIGHWAY 92, SUITE G/H, WOODSTOCK, GA 30188(678) 348-6858 Get Directions Write a Review

NPPES record last updated: June 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Little River Family Dental NPPES

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

LITTLE RIVER FAMILY DENTAL (NPI 1790190056) is a healthcare organization registered as a general practice in Woodstock, Georgia and active in the NPI registry since June 2014. The organization lists Kendra Walker, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1790190056
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHEARTLAND DENTAL CARE OF GEORGIA, P.C.
Location Address12201 HIGHWAY 92, SUITE G/HWoodstock, GA 30188-7140
Mailing Address12201 Highway 92, Suite G/hWoodstock, GA 30188-7140
Organization SubpartYes
Authorized OfficialKendra WalkerCredentialing Coordinator · (217) 540-8312
Enumeration DateJune 25, 2014
NPI 1790190056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12201 HIGHWAY 92, Woodstock, GA 30188

Other Names 1

Doing Business AsLittle River Family Dental

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

Other Providers at the Same Location NPPES 2

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

Dentist
12201 HIGHWAY 92
WOODSTOCK, GA 30188
Clinic/Center (Urgent Care)
12201 HIGHWAY 92
WOODSTOCK, GA 30188

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 Heartland Dental Care Of Georgia, P.C.'s NPI number?

The NPI number for Heartland Dental Care Of Georgia, P.C. is 1790190056. It was assigned to this organization in the NPPES registry on June 25, 2014. The provider is doing business as Little River Family Dental.

Where is Heartland Dental Care Of Georgia, P.C. located?

Heartland Dental Care Of Georgia, P.C. is located at 12201 Highway 92 Suite G/H, Woodstock, GA 30188. The listed phone number is (678) 348-6858.

What is Heartland Dental Care Of Georgia, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Heartland Dental Care Of Georgia, P.C. was last updated on June 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.