AGAPE PEDIATRIC DENTISTRY AND ORTHODONTICS, LLC – NPI #1629830534
Dentist

AGAPE PEDIATRIC DENTISTRY AND ORTHODONTICS, LLC is a dentist located in PEACHTREE CORNERS, GA. NPPES recently assigned the NPI number 1629830534 to AGAPE PEDIATRIC DENTISTRY AND ORTHODONTICS, LLC on January 25, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 1223P0221X from the Health Care Provider Taxonomy code set, which is classified as Dentist specializing in Pediatric Dentistry

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 AGAPE PEDIATRIC DENTISTRY AND ORTHODONTICS, LLC below.

NPI Profile for
AGAPE PEDIATRIC DENTISTRY AND ORTHODONTICS, LLC

NPI Number
1629830534
Created

(about 5 weeks 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
AGAPE PEDIATRIC DENTISTRY AND ORTHODONTICS, LLC
Primary location
5185 PEACHTREE PKWY STE 325
PEACHTREE CORNERS, GA 30092-6541
Phone: (678) 831-5437 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DR. GIA GRANNUM
CEO
Phone: (678) 831-5437
Updated
Certification Date
Jan 25, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
1223P0221X
- Dentist / Pediatric Dentistry (Primary)

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.