OrganizationActive
Center for Pediatric Dentistry, LLC
NPI 1164490918 · Pediatric Dentistry · Augusta, GA
Center for Pediatric Dentistry, LLC is a Pediatric Dentistry organization in Augusta, GA (NPI 1164490918).
Provider details
- NPI number
- 1164490918
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mary Shirley, Administrator(706) 855-8989
- License
- 11680 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1243 Augusta West Pkwy
Augusta, GA 30909-1807
Phone: (706) 855-8989
Fax: (706) 855-0321
Street-level locationGet directions
Mailing address
1243 Augusta West Pkwy
Augusta, GA 30909-1807
Other names (DBA / former)
- Former legal business name
- Center for Pediatric Dentistry, PC
Registry dates
- Enumerated
- 2006-03-09
- Last updated
- 2021-01-18
- Certified
- 2021-01-18
Frequently asked questions
- What is Center for Pediatric Dentistry, LLC's NPI number?
- Center for Pediatric Dentistry, LLC's National Provider Identifier (NPI) is 1164490918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Center for Pediatric Dentistry, LLC?
- Center for Pediatric Dentistry, LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Center for Pediatric Dentistry, LLC located?
- Center for Pediatric Dentistry, LLC's practice location on file with NPPES is 1243 Augusta West Pkwy, Augusta, GA 30909-1807.
- What is Center for Pediatric Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Center for Pediatric Dentistry, LLC is (706) 855-8989.
- Who is the authorized official for Center for Pediatric Dentistry, LLC?
- The authorized official listed on Center for Pediatric Dentistry, LLC's NPPES record is Mary Shirley, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Center for Pediatric Dentistry, LLC's NPI active?
- Yes — Center for Pediatric Dentistry, LLC's NPI (1164490918) is active in the NPPES registry as of the last update on 2021-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.