Active NPI
Select Dental Ga, LLC
Doing business as Select Dental GA
- Pediatric Dentistry
- Columbus, GA
National Provider Identifier
1124790399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- SELECT DENTAL GA, LLC
- Doing business as
- Select Dental GA
- Practice address
- 1834 Warm Springs Rd
Columbus, GA 31904-8029 - Phone
- (706) 324-1834
- NPI assigned
- Oct 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Smith
- Title
- Ceo
- Phone
- (470) 207-3264
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
1834 Warm Springs Rd
Columbus, GA 31904-8029
Mailing address
2300 Lakeview Pkwy Ste 250
Alpharetta, GA 30009-3954
Other names 1
- Select Dental GA
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Columbus, GA
- NPI 1912115056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1124790399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 LAKEVIEW PKWY STE 250",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300093954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1834 WARM SPRINGS RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048029",
"telephone_number": "706-324-1834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECT DENTAL GA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-05",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "470-207-3264"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Select Dental GA",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Select Dental GA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.