Dentistry of Brookhaven Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DENTISTRY OF BROOKHAVEN CORPORATION

Practice address

2221 Johnson Ferry Rd NE Ste 2a
Brookhaven, GA 30319-2203

Phone

(770) 651-1000

Fax

(678) 212-1973

NPI assigned

Jun 9, 2025

Last updated

Jun 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lee Casement

Title

Billing Collections

Phone

(770) 651-1000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1073408340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10930 CRABAPPLE RD STE 106",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755825",
            "telephone_number": "770-651-1000",
            "fax_number": "678-212-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 JOHNSON FERRY RD NE STE 2A",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192203",
            "telephone_number": "770-651-1000",
            "fax_number": "678-212-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY OF BROOKHAVEN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "CASEMENT",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "BILLING COLLECTIONS",
        "authorized_official_telephone_number": "770-651-1000"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Carey Dekle, PT, DPT
• Sean Delfavero, ATC/L
• Kailey Delgado, MA, CCC-SLP
• Sophia Ashley Demelo, OTR/L
• Dental 3B LLC
• Madison Denton, BCBA
• Chantel Desrosiers, RBT
• Shelley Smith Dicecco, MSPT
• Jody Dinh
• Kawanda Dolson, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.