FAMILY DENTAL, PC
NPI 1861886111
Dentist - Pediatric Dentistry in Riverdale, GA

Active since March 25, 2015
12 ROUNTREE RD, RIVERDALE, GA 30274(678) 913-4912 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Dental, Pc NPPES

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

FAMILY DENTAL, PC (NPI 1861886111) is a healthcare organization registered as a pediatric dentistry in Riverdale, Georgia and active in the NPI registry since March 2015. The organization lists Monica Mcintyre, Owner, as its authorized official.

NPPES Registry Identity

NPI1861886111
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFAMILY DENTAL, PC
Location Address12 ROUNTREE RDRiverdale, GA 30274-4036
Mailing Address31 Highway 138 W, Suite 160Stockbridge, GA 30281-4320 · (678) 913-4912
Organization SubpartNo
Authorized OfficialMonica McintyreOwner · (678) 565-1985
Enumeration DateMarch 25, 2015
NPI 1861886111 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 · DN012467
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.
12 ROUNTREE RD, Riverdale, GA 30274

Other Identifiers 1

Medicaid000925735HGA

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 (Pediatric Dentistry)
12 ROUNTREE RD
RIVERDALE, GA 30274
Dentist (Pediatric Dentistry)
12 ROUNTREE RD
RIVERDALE, GA 30274

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 Family Dental, PC's NPI number?

The NPI number for Family Dental, PC is 1861886111. It was assigned to this organization in the NPPES registry on March 25, 2015.

Where is Family Dental, PC located?

Family Dental, PC is located at 12 Rountree Rd, Riverdale, GA 30274. The listed phone number is (678) 913-4912.

What is Family Dental, PC'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 Family Dental, PC was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.