Centers for Pediatric Dental Sedation LLC
NPI 1396108056 · Dental Clinic/Center · College Park, GA
Centers for Pediatric Dental Sedation LLC is a Dental Clinic/Center organization in College Park, GA (NPI 1396108056).
Provider details
- NPI number
- 1396108056
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marcus Polk, Anesthesiologist(404) 403-4567
- License
- 040758 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Registry dates
- Enumerated
- 2016-03-31
- Last updated
- 2016-03-31
Frequently asked questions
- What is Centers for Pediatric Dental Sedation LLC's NPI number?
- Centers for Pediatric Dental Sedation LLC's National Provider Identifier (NPI) is 1396108056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centers for Pediatric Dental Sedation LLC?
- Centers for Pediatric Dental Sedation LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Centers for Pediatric Dental Sedation LLC located?
- Centers for Pediatric Dental Sedation LLC's practice location on file with NPPES is 1631 Phoenix Blvd Ste 8, College Park, GA 30349-5545.
- What is Centers for Pediatric Dental Sedation LLC's phone number?
- The practice phone number listed in the NPPES registry for Centers for Pediatric Dental Sedation LLC is (678) 545-1682.
- Who is the authorized official for Centers for Pediatric Dental Sedation LLC?
- The authorized official listed on Centers for Pediatric Dental Sedation LLC's NPPES record is Marcus Polk, Anesthesiologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centers for Pediatric Dental Sedation LLC's NPI active?
- Yes — Centers for Pediatric Dental Sedation LLC's NPI (1396108056) is active in the NPPES registry as of the last update on 2016-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.