Just Kids Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JUST KIDS DENTISTRY

Practice address

1350 Scenic Hwy N
Suite 262
Snellville, GA 30078-7907

Phone

(770) 972-0921

Fax

(770) 972-0922

NPI assigned

Jul 2, 2009

Organization subpart

No

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

Authorized official

Name

Sarita HenryNPI 1770799074

Title

Owner

Phone

(770) 972-0921

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Sarita M Henry, DDS

  • Pediatric Dentistry
  • Conyers, GA
  • NPI 1770799074
  NPD (past) Authorized official

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1396974051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SCENIC HWY N",
            "address_2": "SUITE 262",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787907",
            "telephone_number": "770-972-0921",
            "fax_number": "770-972-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SCENIC HWY N",
            "address_2": "SUITE 262",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787907",
            "telephone_number": "770-972-0921",
            "fax_number": "770-972-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST KIDS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "SARITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-972-0921"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000900974D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "188040",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy M Plecko and Associates, L.L. C
• Julian & Julian Community Service Group, LLC
• Julian & Julian, LLC
• Nadege Chevalier Julien
• Ruth Smith Jurney, C.R.N.A.
• Mariama Kaba
• Shashank Kailash, MD
• Kaiser Foundation Health Plan of Georgia, Inc.
• Kaiser Permanente
• Joshua Kaliher, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.