Peach State Smiles

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PEACH STATE SMILES

Practice address

2003 Riverside Pkwy
Lawrenceville, GA 30043-5939

Phone

(770) 307-8726

NPI assigned

Jul 8, 2025

Organization subpart

No

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

Authorized official

Name

Scot Armstrong

Title

Ceo

Phone

(770) 307-8726

Specialties & licenses 1

Addresses

Other names 1

• Peach State Smiles Former legal business name

Locations

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1346130523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S GAY ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379299729",
            "telephone_number": "770-307-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 RIVERSIDE PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435939",
            "telephone_number": "770-307-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH STATE SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "SCOT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-307-8726"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peach State Smiles",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• William George Paxton, M.D., PH.D.
• Tyjvanna Tekonsha Payne, LPC
• Peach Smiles
• Peach State Home Care Service LLC
• Peach State Pediatric Therapy Inc.
• Peachtree MRI LLC (Peachtree Diagnostic Services)
• Aurora J. Peacock, MD
• Belinda J Peacock, NP
• Charles Leroy Peacock, CRNA
• Heather Peak, RN

• Dental Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.