OrganizationActive
East Atlanta Pediatric Dentistry PC
NPI 1740688142 · Pediatric Dentistry · Atlanta, GA
East Atlanta Pediatric Dentistry PC is a Pediatric Dentistry organization in Atlanta, GA (NPI 1740688142).
Provider details
- NPI number
- 1740688142
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Teresa Jordan, Dentist/Owner(404) 243-0929
- License
- DN012645 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2646 Gresham Rd Se
Atlanta, GA 30316-4148
Phone: (404) 243-0929
Fax: (404) 243-0928
Street-level locationGet directions
Mailing address
2646 Gresham Rd Se
Atlanta, GA 30316-4148
Registry dates
- Enumerated
- 2014-12-17
- Last updated
- 2014-12-17
Frequently asked questions
- What is East Atlanta Pediatric Dentistry PC's NPI number?
- East Atlanta Pediatric Dentistry PC's National Provider Identifier (NPI) is 1740688142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Atlanta Pediatric Dentistry PC?
- East Atlanta Pediatric Dentistry PC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is East Atlanta Pediatric Dentistry PC located?
- East Atlanta Pediatric Dentistry PC's practice location on file with NPPES is 2646 Gresham Rd Se, Atlanta, GA 30316-4148.
- What is East Atlanta Pediatric Dentistry PC's phone number?
- The practice phone number listed in the NPPES registry for East Atlanta Pediatric Dentistry PC is (404) 243-0929.
- Who is the authorized official for East Atlanta Pediatric Dentistry PC?
- The authorized official listed on East Atlanta Pediatric Dentistry PC's NPPES record is Teresa Jordan, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Atlanta Pediatric Dentistry PC's NPI active?
- Yes — East Atlanta Pediatric Dentistry PC's NPI (1740688142) is active in the NPPES registry as of the last update on 2014-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.