Southland Children'S Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN15000 Issued in GA

Legal business name

SOUTHLAND CHILDREN'S DENTISTRY LLC

Practice address

609 Pointe North Blvd
Albany, GA 31721-3122

Phone

(229) 439-8896

NPI assigned

Jul 12, 2016

Organization subpart

No

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

Authorized official

Name

Wendy Davis

Title

Claims Administrator

Phone

(229) 939-8896

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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

• Eddie Ronald Fields Jr., DMD

  • Pediatric Dentistry
  • Albany, GA
  • NPI 1972928158
  NPD (past)
• Sydney Bush McNeely, DMD

  • Student in an Organized Health Care Education/Training Program
  • Augusta, GA
  • NPI 1871163618
  NPD (past)
• Steven Dwight Sample, D.D.S.

  • Pediatric Dentistry
  • Albany, GA
  • NPI 1528147394
  NPD (past)
• Kenneth Steve Sellers Jr., D.M.D.

  • Pediatric Dentistry
  • Albany, GA
  • NPI 1336531185
  NPD (past)
• Candace Rebekah Cook, DMD

  • Pediatric Dentistry
  • Bluffton, SC
  • NPI 1669106548
  NPD (past)

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1356793533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 POINTE NORTH BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317213122",
            "telephone_number": "229-439-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 POINTE NORTH BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317213122",
            "telephone_number": "229-439-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND CHILDREN'S DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CLAIMS ADMINISTRATOR",
        "authorized_official_telephone_number": "229-939-8896"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN15000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Kids Care, PC
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• Southern Surgery Center, LLC
• Southwest Ga Health District 8 Unit 2 BCW
• Southwest Ga Health District 8 Unit 2 CMS
• Southwest Ga Health District 8 Unit 2 HIV AIDS
• Southwest Ga. Nephrology Clinic, P.C.
• Southwest Georgia Anesthesia Consultants, LLC

• All providers in Albany, GA
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.