NPI age
14 years
Enumerated 2011-08-11
● Active Type 2 · Organization
Dentistry For Children Cdcoa Llc
Dentistry For Children Cdcoa Llc is 1 of 539 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Blair
Supervisor Of Medicaid
Last NPPES update
2011-08-11
Source: monthly bulk 2026-05
How this organization compares
Across 539 active dentist providers in Georgia.
NPI age
14 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-08Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
4536 Chamblee Dunwoody Rd, Suite 211
Atlanta, GA 303386200
Mailing address
1350 Spring St Nw, Ste 600
Atlanta, GA 303092864
Authorized official
Teresa Blair
Supervisor Of Medicaid
📞 7703314014
Individual providers at this organization
11 individual providers on file at this primary practice address.
- John Ambrose, DMD Dentist NPI 1700972395
- Sakita Brown, DMD Dentist NPI 1548308554
- Yasheena Cara, DMD Dentist NPI 1720393291
- Sharon Desouza, DMD Dentist NPI 1376681668
- Ronald Eichel, DDS MSD Dentist NPI 1902944358
- Simone Igleton, CDA Dental Assistant NPI 1316103195
- Yoo Mee Kim, DDS Dentist NPI 1255479689
- Eunejene Kwak Dental Assistant NPI 1952615130
- Taiwo Ogundipe, D.D.S. Dentist NPI 1295831170
- Martin Throne, M.D. Internal Medicine NPI 1558385658
- Leigh Weldon, D.M.D. Dentist NPI 1558599282
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Practice context
Multi-provider organization. 11 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.