Dentistry for Children of McDonough, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DENTISTRY FOR CHILDREN OF MCDONOUGH, LLC

Practice address

1409 Highway 20 W
McDonough, GA 30253-7306

Phone

(770) 692-1000

Fax

(770) 692-0864

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Charles Coulter

Title

Pediatric Dentist

Phone

(770) 473-1350

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1295036028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 COUNTRY CLUB DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817350",
            "telephone_number": "770-473-1350",
            "fax_number": "770-692-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 HIGHWAY 20 W",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537306",
            "telephone_number": "770-692-1000",
            "fax_number": "770-692-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY FOR CHILDREN OF MCDONOUGH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "COULTER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "770-473-1350",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William H Dellinger Jr., DDS
• Evita C. Dendy, SLP-CCC
• Kacey Lynn Dennis, MS, EDS, LPC
• Lacey Dent, MS, CCC-SLP
• Dentfirst PC
• Dentists of Union Grove, PC
• Dependable Screening Solutions LLC
• Rohan Desai, M.D.
• Rolin Desir, DDS
• Ronald Desvarieux Jr., PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.