Children'S Dentistry of Rome, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CHILDREN'S DENTISTRY OF ROME, LLC

Doing business as

CHILDREN'S DENTISTRY OF ROME

Practice address

204 Redmond Rd NW
Rome, GA 30165-1538

Phone

(706) 291-2550

Fax

(706) 291-8349

NPI assigned

Nov 14, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Christy McStotts

Title

Manager

Phone

(706) 291-2550

Specialties & licenses 1

Addresses

Other names 1

• CHILDREN'S DENTISTRY OF ROME Doing business as

Locations

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1700030996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651538",
            "telephone_number": "706-291-2550",
            "fax_number": "706-291-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651538",
            "telephone_number": "706-291-2550",
            "fax_number": "706-291-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTISTRY OF ROME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "MCSTOTTS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-291-2550",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHILDREN'S DENTISTRY OF ROME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHILDREN'S DENTISTRY OF ROME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucy Michael Cheriyampurathu, RN
• Barbara Danielle Chester, NURSE PRACTITIONER
• Donna Faye Childers, FNP
• Janet Mytrice Childre, RD
• Children'S Dental Center, PC
• Lesley Childs, MS.CCC-SLP
• Hamid Reza Chimeh, M.D.
• Chiropractic Center of Rome PC
• Chiropractic Solutions of Georgia, LLC
• Shrinal Chokshi, MD

• Pediatric Dentistry in Rome, GA
• Providers in Rome, 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 28, 2021; 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.