OrganizationActive
Childrens Dentistry of Austell
NPI 1235298274 · Pediatric Dentistry · Austell, GA
Provider details
- NPI number
- 1235298274
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brian Smith, Controller(678) 445-5444
Specialties & taxonomies
Dental Providers
Practice location
1678 Mulkey Rd
Ste D
Austell, GA 30106
Phone: (678) 445-5444
Fax: (678) 445-5552
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 195
Woodstock, GA 30188
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.