OrganizationActive
Statesboro Pediatric Dentistry, LLC
NPI 1568935286 · Pediatric Dentistry · Statesboro, GA
Statesboro Pediatric Dentistry, LLC is a Pediatric Dentistry organization in Statesboro, GA (NPI 1568935286).
Provider details
- NPI number
- 1568935286
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Anjali Patel, Dentist/Owner(478) 456-5907
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
613 E Grady St
Statesboro, GA 30458-5104
Phone: (478) 456-5907
Street-level locationGet directions
Mailing address
101 Irongate Pl
Statesboro, GA 30458-9195
Registry dates
- Enumerated
- 2019-01-04
- Last updated
- 2019-01-04
Frequently asked questions
- What is Statesboro Pediatric Dentistry, LLC's NPI number?
- Statesboro Pediatric Dentistry, LLC's National Provider Identifier (NPI) is 1568935286, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Statesboro Pediatric Dentistry, LLC?
- Statesboro Pediatric Dentistry, LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Statesboro Pediatric Dentistry, LLC located?
- Statesboro Pediatric Dentistry, LLC's practice location on file with NPPES is 613 E Grady St, Statesboro, GA 30458-5104.
- What is Statesboro Pediatric Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Statesboro Pediatric Dentistry, LLC is (478) 456-5907.
- Who is the authorized official for Statesboro Pediatric Dentistry, LLC?
- The authorized official listed on Statesboro Pediatric Dentistry, LLC's NPPES record is Anjali Patel, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Statesboro Pediatric Dentistry, LLC's NPI active?
- Yes — Statesboro Pediatric Dentistry, LLC's NPI (1568935286) is active in the NPPES registry as of the last update on 2019-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.