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OAK GROVE PEDIATRIC DENTISTRY, P.C.
NPI 1942083852
Dentist - Pediatric Dentistry in Decatur, GA

Active since August 15, 2023
3744 LAVISTA RD, DECATUR, GA 30033(770) 934-3506 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oak Grove Pediatric Dentistry, P.c. NPPES

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

OAK GROVE PEDIATRIC DENTISTRY, P.C. (NPI 1942083852) is a healthcare organization registered as a pediatric dentistry in Decatur, Georgia and active in the NPI registry since August 2023. The organization lists Ben Cutler, Secretary, as its authorized official.

NPPES Registry Identity

NPI1942083852
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameOAK GROVE PEDIATRIC DENTISTRY, P.C.
Location Address3744 LAVISTA RDDecatur, GA 30033-1045
Mailing Address296 S Main St Ste 300Alpharetta, GA 30009-1973
Phone(770) 934-3506
Organization SubpartNo
Authorized OfficialBen CutlerSecretary · (607) 743-9474
Enumeration DateAugust 15, 2023
NPPES CertifiedAugust 15, 2023
✔ NPI 1942083852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDentistTaxonomy 122300000X
3744 LAVISTA RD, Decatur, GA 30033
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

DR. BENJAMIN HOWARD GRANT
Dentist (General Practice)
3744 LAVISTA RD, SUITE B
DECATUR, GA 30033
Dekalb County (404) 634-2205
JOHN A. CLINEBELL, D.D.S., M.S., P.C.
Dentist (Orthodontics and Dentofacial Orthopedics)
3744 LAVISTA RD, SUITE A
DECATUR, GA 30033
Dekalb County (404) 325-8116
KIMBERLY CLOUGH DMD
Dentist
3744 LAVISTA RD
DECATUR, GA 30033
Dekalb County (404) 634-2205

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 Oak Grove Pediatric Dentistry, P.C.'s NPI number?

The NPI number for Oak Grove Pediatric Dentistry, P.C. is 1942083852. It was assigned to this organization in the NPPES registry on August 15, 2023.

Where is Oak Grove Pediatric Dentistry, P.C. located?

Oak Grove Pediatric Dentistry, P.C. is located at 3744 Lavista Rd, Decatur, GA 30033. The listed phone number is (770) 934-3506.

What is Oak Grove Pediatric Dentistry, P.C.'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 Oak Grove Pediatric Dentistry, P.C. was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.