OrganizationActive
Dogwood Pediatric Dentistry of Pooler, LLC
NPI 1396474458 · Pediatric Dentistry · Pooler, GA
Dogwood Pediatric Dentistry of Pooler, LLC is a Pediatric Dentistry organization in Pooler, GA (NPI 1396474458).
Provider details
- NPI number
- 1396474458
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Karen Stevens, Office Manager(912) 661-1391
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
100 Blue Moon Xing Ste 105
Pooler, GA 31322-9809
Phone: (912) 661-1391
Street-level locationGet directions
Mailing address
203 Commonwealth Ave
Port Wentworth, GA 31407-1916
Registry dates
- Enumerated
- 2022-06-06
- Last updated
- 2022-06-16
- Certified
- 2022-06-16
Frequently asked questions
- What is Dogwood Pediatric Dentistry of Pooler, LLC's NPI number?
- Dogwood Pediatric Dentistry of Pooler, LLC's National Provider Identifier (NPI) is 1396474458, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dogwood Pediatric Dentistry of Pooler, LLC?
- Dogwood Pediatric Dentistry of Pooler, LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Dogwood Pediatric Dentistry of Pooler, LLC located?
- Dogwood Pediatric Dentistry of Pooler, LLC's practice location on file with NPPES is 100 Blue Moon Xing Ste 105, Pooler, GA 31322-9809.
- What is Dogwood Pediatric Dentistry of Pooler, LLC's phone number?
- The practice phone number listed in the NPPES registry for Dogwood Pediatric Dentistry of Pooler, LLC is (912) 661-1391.
- Who is the authorized official for Dogwood Pediatric Dentistry of Pooler, LLC?
- The authorized official listed on Dogwood Pediatric Dentistry of Pooler, LLC's NPPES record is Karen Stevens, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dogwood Pediatric Dentistry of Pooler, LLC's NPI active?
- Yes — Dogwood Pediatric Dentistry of Pooler, LLC's NPI (1396474458) is active in the NPPES registry as of the last update on 2022-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.