OrganizationActive
Parkside Pediatric and Orthodontic Care Inc
NPI 1366125395 · Pediatric Dentistry · Fayetteville, GA
Parkside Pediatric and Orthodontic Care Inc is a Pediatric Dentistry organization in Fayetteville, GA (NPI 1366125395).
Provider details
- NPI number
- 1366125395
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tarvoria Russ, Operations Manager(404) 631-7303
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
155 Carnegie Pl Ste 201a
Fayetteville, GA 30214-3981
Phone: (678) 228-4266
Fax: (404) 521-4120
Street-level locationGet directions
Mailing address
155 Carnegie Pl Ste 201a
Fayetteville, GA 30214-3981
Registry dates
- Enumerated
- 2023-08-08
- Last updated
- 2023-08-08
- Certified
- 2023-08-08
Frequently asked questions
- What is Parkside Pediatric and Orthodontic Care Inc's NPI number?
- Parkside Pediatric and Orthodontic Care Inc's National Provider Identifier (NPI) is 1366125395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Parkside Pediatric and Orthodontic Care Inc?
- Parkside Pediatric and Orthodontic Care Inc is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Parkside Pediatric and Orthodontic Care Inc located?
- Parkside Pediatric and Orthodontic Care Inc's practice location on file with NPPES is 155 Carnegie Pl Ste 201a, Fayetteville, GA 30214-3981.
- What is Parkside Pediatric and Orthodontic Care Inc's phone number?
- The practice phone number listed in the NPPES registry for Parkside Pediatric and Orthodontic Care Inc is (678) 228-4266.
- Who is the authorized official for Parkside Pediatric and Orthodontic Care Inc?
- The authorized official listed on Parkside Pediatric and Orthodontic Care Inc's NPPES record is Tarvoria Russ, Operations Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Parkside Pediatric and Orthodontic Care Inc's NPI active?
- Yes — Parkside Pediatric and Orthodontic Care Inc's NPI (1366125395) is active in the NPPES registry as of the last update on 2023-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.