Dream Pediatric Dentistry and Orthodontics, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DREAM PEDIATRIC DENTISTRY AND ORTHODONTICS, LLC

Practice address

2143 Newnan Crossing Blvd E Ste 100
Newnan, GA 30265-2406

Phone

(470) 541-2426

NPI assigned

Mar 18, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mallory Dawson, DMDNPI 1629519525

Title

Partner

Phone

(478) 955-6125

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mallory Dawson, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cookeville, TN
  • NPI 1629519525
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1003492224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 NEWNAN CROSSING BLVD E STE 100",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652406",
            "telephone_number": "470-541-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 NEWNAN CROSSING BLVD E STE 100",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652406",
            "telephone_number": "470-541-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM PEDIATRIC DENTISTRY AND ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "478-955-6125",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Doss
• Dow & Dow Inc (Home Helpers Georgia & Alabama)
• Dr. Nice Psychiatry LLC
• Lyle Drake, AUD
• Kathleen Marie Draper, RDN
• Christy O Drescher, PHARMD
• Dubanyi Corp (Dubanyi Health)
• Michael P. Duchynski, M.D.
• Lori Katrina Duckett, MD
• Christy Lynne Duffey, APRN

• Pediatric Dentistry in Newnan, GA
• Providers in Newnan, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.