OrganizationActive
Pediatric Dental Center of Georgia
NPI 1023321205 · Pediatric Dentistry · Tifton, GA
Pediatric Dental Center of Georgia is a Pediatric Dentistry organization in Tifton, GA (NPI 1023321205).
Provider details
- NPI number
- 1023321205
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Luther Webster, Owner(229) 238-3787
- License
- DN013788 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
820 Love Ave Ste a
Tifton, GA 31794-4000
Phone: (229) 238-3787
Fax: (229) 238-2530
Street-level locationGet directions
Mailing address
820 Love Ave Ste a
Tifton, GA 31794-4000
Registry dates
- Enumerated
- 2010-07-16
- Last updated
- 2024-04-26
- Certified
- 2024-04-26
Frequently asked questions
- What is Pediatric Dental Center of Georgia's NPI number?
- Pediatric Dental Center of Georgia's National Provider Identifier (NPI) is 1023321205, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dental Center of Georgia?
- Pediatric Dental Center of Georgia is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dental Center of Georgia located?
- Pediatric Dental Center of Georgia's practice location on file with NPPES is 820 Love Ave Ste a, Tifton, GA 31794-4000.
- What is Pediatric Dental Center of Georgia's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dental Center of Georgia is (229) 238-3787.
- Who is the authorized official for Pediatric Dental Center of Georgia?
- The authorized official listed on Pediatric Dental Center of Georgia's NPPES record is Luther Webster, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dental Center of Georgia's NPI active?
- Yes — Pediatric Dental Center of Georgia's NPI (1023321205) is active in the NPPES registry as of the last update on 2024-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.