OrganizationActive
Peachtree Hills Pediatric Dentistry
NPI 1629619200 · Pediatric Dentistry · Atlanta, GA
Provider details
- NPI number
- 1629619200
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mitchell Vaughan, President(404) 750-4442
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
2385 Peachtree Rd Ne Ste A2ab
Atlanta, GA 30305-4139
Phone: (404) 750-4442
Street-level locationGet directions
Mailing address
2385 Peachtree Rd Ne Ste A2ab
Atlanta, GA 30305-4139
Registry dates
- Enumerated
- 2019-10-04
- Last updated
- 2019-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.