Organization Active NPI

Windy Hill Pediatric Dentistry Smyrna, LLC

  • Pediatric Dentistry
  • Smyrna, GA
National Provider Identifier
1619838521
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
WINDY HILL PEDIATRIC DENTISTRY SMYRNA, LLC
Practice address
1060 Windy Hill Rd SE Ste 220
Smyrna, GA 30080-2065
Phone
(770) 651-1000
Fax
(678) 212-1973
NPI assigned
Nov 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Lee J Casement
Title
Billing/Collections
Phone
(770) 651-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1060 Windy Hill Rd SE Ste 220
Smyrna, GA 30080-2065

Mailing address

10930 Crabapple Rd Ste 106
Roswell, GA 30075-5825
Phone (770) 651-1000

National Provider Directory

National Provider Directory

Locations

1060 Windy Hill Rd SE
Ste 220
Smyrna, GA 30080
Phone (770) 302-0504

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1619838521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10930 CRABAPPLE RD STE 106",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755825",
            "telephone_number": "770-651-1000",
            "fax_number": "678-212-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 WINDY HILL RD SE STE 220",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802065",
            "telephone_number": "770-651-1000",
            "fax_number": "678-212-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDY HILL PEDIATRIC DENTISTRY SMYRNA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "CASEMENT",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING/COLLECTIONS",
        "authorized_official_telephone_number": "770-651-1000"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.