OrganizationActive
Pediatric Dental Specialist of Hiram
NPI 1245617364 · Pediatric Dentistry · Hiram, GA
Pediatric Dental Specialist of Hiram is a Pediatric Dentistry organization in Hiram, GA (NPI 1245617364).
Provider details
- NPI number
- 1245617364
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mindy Simms, President(330) 289-6019
- License
- DN013367 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
5604 Wendy Bagwell Pkwy
Suite 1100
Hiram, GA 30141-7813
Phone: (770) 943-0011
Street-level locationGet directions
Mailing address
5604 Wendy Bagwell Pkwy
Hiram, GA 30141-7813
Registry dates
- Enumerated
- 2015-04-27
- Last updated
- 2015-04-27
Frequently asked questions
- What is Pediatric Dental Specialist of Hiram's NPI number?
- Pediatric Dental Specialist of Hiram's National Provider Identifier (NPI) is 1245617364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dental Specialist of Hiram?
- Pediatric Dental Specialist of Hiram is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dental Specialist of Hiram located?
- Pediatric Dental Specialist of Hiram's practice location on file with NPPES is 5604 Wendy Bagwell Pkwy, Hiram, GA 30141-7813.
- What is Pediatric Dental Specialist of Hiram's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dental Specialist of Hiram is (770) 943-0011.
- Who is the authorized official for Pediatric Dental Specialist of Hiram?
- The authorized official listed on Pediatric Dental Specialist of Hiram's NPPES record is Mindy Simms, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dental Specialist of Hiram's NPI active?
- Yes — Pediatric Dental Specialist of Hiram's NPI (1245617364) is active in the NPPES registry as of the last update on 2015-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.