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LITTLE PEACHES PEDIATRIC DENTISTRY
NPI 1801246079
Dentist - Pediatric Dentistry in Tyrone, GA

Active since June 17, 2016
120 HANDLEY RD, SUITE 210, TYRONE, GA 30290(770) 632-7090(770) 632-7075 Get Directions Write a Review

NPPES record last updated: June 17, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Little Peaches Pediatric Dentistry NPPES

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

LITTLE PEACHES PEDIATRIC DENTISTRY (NPI 1801246079) is a healthcare organization registered as a pediatric dentistry in Tyrone, Georgia and active in the NPI registry since June 2016. The organization lists Charisse Caswell, Owner, as its authorized official.

NPPES Registry Identity

NPI1801246079
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLITTLE PEACHES PEDIATRIC DENTISTRY
Location Address120 HANDLEY RD, SUITE 210Tyrone, GA 30290-2177
Mailing Address120 Handley Rd, Suite 210Tyrone, GA 30290-2177 · (770) 632-7090 · Fax (770) 632-7075
Phone(770) 632-7090
Fax(770) 632-7075
Organization SubpartNo
Authorized OfficialCharisse CaswellOwner · (770) 632-7090
Enumeration DateJune 17, 2016
✔ NPI 1801246079 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 · DN013163
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.
120 HANDLEY RD, Tyrone, GA 30290
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Other Identifiers 2

Medicaid773054619HGA
Medicaid773054619GGA

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 13

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

HDH HEALTHCARE GROUP, LLC
Clinic/Center (Urgent Care)
120 HANDLEY RD, #400
TYRONE, GA 30290
Fayette County (404) 597-9523
CHARISSE L. CASWELL DMD
Dentist (Pediatric Dentistry)
120 HANDLEY RD, SUITE 210
TYRONE, GA 30290
Fayette County (770) 632-7090
MRS. MARY ANN NAVARRE MA, LPC
Counselor (Professional)
120 HANDLEY RD
TYRONE, GA 30290
Fayette County (404) 409-9385
GENESYS FAMILY PRACTICE, INC.
Family Medicine
120 HANDLEY RD, SUITE 410
TYRONE, GA 30290
Fayette County (770) 964-5810
NYAH COULTER
Behavior Technician
120 HANDLEY RD
TYRONE, GA 30290
Fayette County (404) 839-7934
DR. KRUTIKA DESAI D.C.
Chiropractor
120 HANDLEY RD, STE 220
TYRONE, GA 30290
Fayette County (770) 631-7600
DR. SUVRAT JAGANNIVAS BHARGAVE MD
Specialist
120 HANDLEY RD, SUITE 310
TYRONE, GA 30290
Fayette County (770) 486-1011
JENNIFER WALLACE MERRILL LAPC
Counselor (Mental Health)
120 HANDLEY RD
TYRONE, GA 30290
Fayette County (770) 486-1011

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 Little Peaches Pediatric Dentistry's NPI number?

The NPI number for Little Peaches Pediatric Dentistry is 1801246079. It was assigned to this organization in the NPPES registry on June 17, 2016.

Where is Little Peaches Pediatric Dentistry located?

Little Peaches Pediatric Dentistry is located at 120 Handley Rd Suite 210, Tyrone, GA 30290. The listed phone number is (770) 632-7090.

What is Little Peaches Pediatric 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 Little Peaches Pediatric Dentistry was last updated on June 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.