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STATESBORO CHILDREN'S DENTAL CENTER, PC
NPI 1831372119
Clinic/Center - Dental in Statesboro, GA

Active since December 10, 2007
1501 BRAMPTON AVE, STATESBORO, GA 30458(912) 871-6197(912) 871-6203 Get Directions Write a Review

NPPES record last updated: December 10, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Statesboro Children's Dental Center, Pc NPPES

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

STATESBORO CHILDREN'S DENTAL CENTER, PC (NPI 1831372119) is a healthcare organization registered as a dental in Statesboro, Georgia and active in the NPI registry since December 2007. The organization lists John L Wasdin, Owner, as its authorized official.

NPPES Registry Identity

NPI1831372119
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSTATESBORO CHILDREN'S DENTAL CENTER, PC
Location Address1501 BRAMPTON AVEStatesboro, GA 30458-0856
Mailing Address1501 Brampton AveStatesboro, GA 30458-0856 · (912) 871-6197 · Fax (912) 871-6203
Phone(912) 871-6197
Fax(912) 871-6203
Organization SubpartNo
Authorized OfficialJohn L WasdinOwner · (912) 871-6197
Enumeration DateDecember 10, 2007
✔ NPI 1831372119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in GA · DN011889
1501 BRAMPTON AVE, Statesboro, GA 30458
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Other Providers at the Same Location NPPES 3

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

MRS. JENNIFER LEA WILLIAMSON PA-C
Physician Assistant
1501 BRAMPTON AVE
STATESBORO, GA 30458
Bulloch County (912) 871-6206
DR. JOHN LYNDON WASDIN D.M.D.
Dentist (Pediatric Dentistry)
1501 BRAMPTON AVE
STATESBORO, GA 30458
Bulloch County (912) 871-6197
DR. JAMES FENTEM SMALL III MD
Obstetrics & Gynecology
1501 BRAMPTON AVE
STATESBORO, GA 30458
Bulloch County (912) 871-6206

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 Statesboro Children's Dental Center, PC's NPI number?

The NPI number for Statesboro Children's Dental Center, PC is 1831372119. It was assigned to this organization in the NPPES registry on December 10, 2007.

Where is Statesboro Children's Dental Center, PC located?

Statesboro Children's Dental Center, PC is located at 1501 Brampton Ave, Statesboro, GA 30458. The listed phone number is (912) 871-6197.

What is Statesboro Children's Dental Center, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Statesboro Children's Dental Center, PC was last updated on December 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.