NPI age
3 years
Enumerated 2022-09-19
● Active Type 2 · Organization
Blossom Pediatric Dentistry, Llc
Blossom Pediatric Dentistry, 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
Lyons
Owner/dentist
Last NPPES update
2023-08-03
Source: monthly bulk 2026-05
How this organization compares
Across 539 active dentist providers in Georgia.
NPI age
3 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-09Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
345 Peachtree Industrial Blvd Ste 1102-1103
Suwanee, GA 300248819
Mailing address
345 Peachtree Industrial Blvd Ste 1102
Suwanee, GA 300248823
Authorized official
Whitney Lyons, DMD
Owner/dentist
📞 7706095603
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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1811302474 | INDIVIDUAL NPI |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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