OrganizationActive
Childrens Dental Village, LLC
NPI 1356749964 · Pediatric Dentistry · Roswell, GA
Provider details
- NPI number
- 1356749964
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Priya Madhiwala, Dentist/Owner(678) 352-8108
- License
- DN014199 (GA)
Specialties & taxonomies
Dental Providers
Practice location
9420 Willeo Rd
Suite 104
Roswell, GA 30075-6772
Phone: (678) 352-8108
Fax: (678) 352-8107
Approximate (ZIP-level) locationGet directions
Mailing address
9420 Willeo Rd
Roswell, GA 30075-6772
Registry dates
- Enumerated
- 2014-12-12
- Last updated
- 2014-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.