Powder Springs Dentistry for Kids, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

POWDER SPRINGS DENTISTRY FOR KIDS, LLC

Practice address

4400 Brownsville Rd Ste 202
Powder Springs, GA 30127-8903

Phone

(678) 848-3742

NPI assigned

May 21, 2025

Last updated

May 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. La Shandia Brooks, DDSNPI 1710219118

Title

Ceo/Owner

Phone

(678) 464-3094

Specialties & licenses 1

Addresses

Other names 1

• Powder Springs Dentistry for Kids, LLC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lashandia Renae Brooks, (DDS)

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1710219118
  NPD Authorized official

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1497547806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 THOMPSON CT SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "301261997",
            "telephone_number": "678-464-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BROWNSVILLE RD STE 202",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301278903",
            "telephone_number": "678-848-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWDER SPRINGS DENTISTRY FOR KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "LA SHANDIA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "678-464-3094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powder Springs Dentistry for Kids, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Petlin Diversified Services LLC
• Phillip Medical Supplies
• Physician Acquisition Solutions, LLC
• Latoya Icelle Poole, PCT
• Trevino Pope
• Powder Springs Operating LLC
• Susan Prayter, NP
• Premium Healthcare LLC
• Stephanie Pretti
• Joel Kevin Price, PA

• General Practice Dentistry in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.