Organization Active NPI

Teddy Dental Inc

  • Dental Clinic/Center
  • Smyrna, GA
National Provider Identifier
1992542567
Registry record updated Nov 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TEDDY DENTAL INC
Practice address
4480 N Cooper Lake Rd SE Ste 210
Smyrna, GA 30082-4623
Phone
(770) 863-0005
NPI assigned
Jul 11, 2024
Last updated
Nov 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2026

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

Authorized official

Name
Dr. Natasha Kanchwala, DMDNPI 1487007357
Title
Dentist
Phone
(630) 313-9688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4480 N Cooper Lake Rd SE Ste 210
Smyrna, GA 30082-4623

Mailing address

4480 N Cooper Lake Rd SE Ste 210
Smyrna, GA 30082-4623
Phone (630) 313-9688

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793750400000",
    "number": "1992542567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 N COOPER LAKE RD SE STE 210",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300824623",
            "telephone_number": "630-313-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 N COOPER LAKE RD SE STE 210",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300824623",
            "telephone_number": "770-863-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEDDY DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A",
        "authorized_official_last_name": "KANCHWALA",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-313-9688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.