Dentistry for Children of Stockbridge, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DENTISTRY FOR CHILDREN OF STOCKBRIDGE, LLC

Practice address

125 Eagles Pointe Pkwy Ste 210
Stockbridge, GA 30281-6379

Phone

(770) 507-7282

Fax

(770) 692-0651

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Charles Coulter

Title

Pediatric Dentist

Phone

(770) 473-1350

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Janet Susan Ellington, DMD

  • Pediatric Dentistry
  • Stockbridge, GA
  • NPI 1548283880
  NPD (past)
• Brian Urban Roehl, DMD

  • General Practice Dentistry
  • Stockbridge, GA
  • NPI 1013938364
  NPD (past)

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1972804797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 COUNTRY CLUB DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817350",
            "telephone_number": "770-473-1350",
            "fax_number": "770-692-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAGLES POINTE PKWY STE 210",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816379",
            "telephone_number": "770-507-7282",
            "fax_number": "770-692-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY FOR CHILDREN OF STOCKBRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "COULTER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "770-473-1350",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Andrew Dennin, APRN
• Iain Denning
• Christina Denninghoff, PSYD
• Dental One Associates (Stockbridge) LLC
• Dentistry for Children of Stockbridge II, LLC
• Deployed Tactics
• Depoe Eye Center PC
• Depoe Management, LLC
• Laura C Depoe, OD
• Dermatology & Skin Cancer Prevention Center, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.