OrganizationActive
Fayetteville Pediatric Dentistry
NPI 1073056933 · Pediatric Dentistry · Fayetteville, GA
Fayetteville Pediatric Dentistry is a Pediatric Dentistry organization in Fayetteville, GA (NPI 1073056933).
Provider details
- NPI number
- 1073056933
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Vishant Nath, Dentist(770) 651-1000
- License
- DN013057 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
320 N Jeff Davis Dr
Suite C
Fayetteville, GA 30214-1669
Phone: (770) 651-1000
Street-level locationGet directions
Mailing address
320 N Jeff Davis Dr
Fayetteville, GA 30214-1669
Registry dates
- Enumerated
- 2016-11-28
- Last updated
- 2016-11-28
Frequently asked questions
- What is Fayetteville Pediatric Dentistry's NPI number?
- Fayetteville Pediatric Dentistry's National Provider Identifier (NPI) is 1073056933, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fayetteville Pediatric Dentistry?
- Fayetteville Pediatric Dentistry is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Fayetteville Pediatric Dentistry located?
- Fayetteville Pediatric Dentistry's practice location on file with NPPES is 320 N Jeff Davis Dr, Fayetteville, GA 30214-1669.
- What is Fayetteville Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Fayetteville Pediatric Dentistry is (770) 651-1000.
- Who is the authorized official for Fayetteville Pediatric Dentistry?
- The authorized official listed on Fayetteville Pediatric Dentistry's NPPES record is Vishant Nath, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fayetteville Pediatric Dentistry's NPI active?
- Yes — Fayetteville Pediatric Dentistry's NPI (1073056933) is active in the NPPES registry as of the last update on 2016-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.