Sweet Maple Pediatric Dentistry PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SWEET MAPLE PEDIATRIC DENTISTRY PC

Practice address

56 Hawkins LN
Jefferson, GA 30549-5476

Phone

(770) 653-3740

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Kayla A Newton, DMDNPI 1922462613

Title

Pediatric Dentist

Phone

(770) 653-3740

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kayla Newton, DMD

  • Pediatric Dentistry
  • Braselton, GA
  • NPI 1922462613
  NPD Authorized official

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1639899065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 LOST MEADOWS LN",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198451",
            "telephone_number": "770-653-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 HAWKINS LN",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305495476",
            "telephone_number": "770-653-3740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1363 Old Pendergrass Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "GA",
            "postal_code": "305492790",
            "country_code": "US",
            "telephone_number": "770-653-3740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SWEET MAPLE PEDIATRIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-27",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "770-653-3740",
        "authorized_official_credential": "DMD"
    },
    "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": "1922462613",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy G Smith, M.D.
• Solutions Medical Transport
• Lucinda Sproul
• Elizabeth Johnson Sugg, SLP
• Susan Weaver Hawn, MD, LLC
• Austin Curtis Tally
• Brittany Taylor-Stewart
• TDB Community Transport
• TDB Community Transport LLC
• TDB Community Transport LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.