Organization Active NPI

Children'S Dentistry of Decatur

  • Pediatric Dentistry
  • Decatur, GA
National Provider Identifier
1861308140
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHILDREN'S DENTISTRY OF DECATUR
Practice address
5243 Snapfinger Woods Dr Ste 107
Decatur, GA 30035-4000
Phone
(770) 781-0203
Fax
(770) 781-0204
NPI assigned
Aug 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Mary Hanif
Title
Manager
Phone
(678) 984-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

5243 Snapfinger Woods Dr Ste 107
Decatur, GA 30035-4000

Mailing address

5243 Snapfinger Woods Dr Ste 107
Decatur, GA 30035-4000
Phone (770) 781-0203

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1861308140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5243 SNAPFINGER WOODS DR STE 107",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354000",
            "telephone_number": "770-781-0203",
            "fax_number": "770-781-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5243 SNAPFINGER WOODS DR STE 107",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354000",
            "telephone_number": "770-781-0203",
            "fax_number": "770-781-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTISTRY OF DECATUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "HANIF",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-984-5566"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.