NPIMap

Organization Active NPI

Childrens Dental Center of Atlanta PC

  • Pediatric Dentistry
  • Atlanta, GA
National Provider Identifier
1700924735
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHILDRENS DENTAL CENTER OF ATLANTA PC
Practice address
4536 Chamblee Dunwoody Rd
Suite 211
Atlanta, GA 30338-6200
Phone
(770) 455-1238
Fax
(770) 455-4576
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robin K Hill
Title
Office Manager
Phone
(770) 455-1238

Specialties & licenses 1

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

Addresses

Primary practice location

4536 Chamblee Dunwoody Rd
Suite 211
Atlanta, GA 30338-6200

Mailing address

4536 Chamblee Dunwoody Rd
Suite 211
Atlanta, GA 30338-6200
Phone (770) 455-1238

National Provider Directory

National Provider Directory

Locations

4536 Chamblee Dunwoody Rd
Ste 211
Atlanta, GA 30338
Phone (770) 331-4104

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700924735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE 211",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386200",
            "telephone_number": "770-455-1238",
            "fax_number": "770-455-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE 211",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386200",
            "telephone_number": "770-455-1238",
            "fax_number": "770-455-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS DENTAL CENTER OF ATLANTA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-455-1238"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.