Active NPI
Windy Hill Pediatric Dentistry Smyrna, LLC
- Pediatric Dentistry
- Smyrna, GA
National Provider Identifier
1619838521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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 DirectoryLocations
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.