Pediatric Dental Associates of Atlanta

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTAL ASSOCIATES OF ATLANTA

Practice address

525 Pleasant Home Rd
Augusta, GA 30907-3525

Phone

(706) 860-6443

NPI assigned

Dec 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Akindeko Obebe, DMDNPI 1811124969

Title

President

Phone

(216) 849-8097

Specialties & licenses 1

Addresses

Other names 1

• Augusta Children's Dental Center Doing business as

Locations

Practitioners 2

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

• Akindeko D Obebe, D.M.D

  • Pediatric Dentistry
  • Augusta, GA
  • NPI 1811124969
  NPD Authorized official
• Andrew Durbin Chandler, DDS

  • Pediatric Dentistry
  • Augusta, GA
  • NPI 1982644142
  NPD (past)

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1245879006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 PLEASANT HOME RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309073525",
            "telephone_number": "706-860-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 PLEASANT HOME RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309073525",
            "telephone_number": "706-860-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL ASSOCIATES OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "OBEBE",
        "authorized_official_first_name": "AKINDEKO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-849-8097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta Children's Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shayla Pearson
• Pebe Med, Inc
• Meredith Cundey Peckel, PHARM D
• Justen Edgar Peckham, RN
• Pediatric Autism Clinical & Evaluation Services LLC
• Pediatric Mobility Innovations
• Pediatricare PM
• Tara K Pedigo, MD
• Angelique Pedraza
• Brian Dorsey Peebles

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.