CHILDRENS DENTISTRY OF LITHONIA LLC – NPI #1730348210
Clinic/Center

CHILDRENS DENTISTRY OF LITHONIA LLC is an AHC clinic located in STONE MOUNTAIN, GA. NPPES has assigned the NPI number 1730348210 to CHILDRENS DENTISTRY OF LITHONIA LLC on June 09, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHILDRENS DENTISTRY OF LITHONIA LLC below.

NPI Profile for
CHILDRENS DENTISTRY OF LITHONIA LLC

NPI Number
1730348210
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHILDRENS DENTISTRY OF LITHONIA LLC
Primary location
374 C NORTH DESHON ROAD
STONE MOUNTAIN, GA 30087
Phone: (770) 469-4192 Fax: (770) 469-4195
Mailing address
PO BOX 870272
STONE MOUNTAIN, GA 30087-0007
Phone: (770) 469-4192 Fax: (770) 469-4195
Organization Subpart
No
Authorized Official
ADESEGUN TEWOGBADE
OWNER
Phone: (770) 469-4192
Updated
Identifiers

Identifiers for CHILDRENS DENTISTRY OF LITHONIA LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERINDIVIDUAL NPI1952449944
MEDICAIDGA853805701A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 GA DN013400

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.