NPI age
20 years
Enumerated 2006-03-09
● Active Type 2 · Organization
Center For Pediatric Dentistry, Llc
Center For 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
Shirley
Administrator
Last NPPES update
2021-01-18
Source: monthly bulk 2026-05
How this organization compares
Across 539 active dentist providers in Georgia.
NPI age
20 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-03Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1243 Augusta West Pkwy
Augusta, GA 309091807
Mailing address
1243 Augusta West Pkwy
Augusta, GA 309091807
Authorized official
Mary Shirley
Administrator
📞 7068558989
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Lee Baker, DDS Dentist NPI 1619936267
- MacKenzie Craik, DDS Dentist NPI 1558626929
- Kelly Hughes, DMD Dentist NPI 1285702332
- Austin Rogers, DMD Dentist NPI 1851077390
- Fredrick Schoenthal Dentist NPI 1376245035
- Melissa Shaw, DMD Dentist NPI 1295935534
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 |
|---|---|---|
| 05 (GA) | 945328611A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Center For Pediatric Dentistry, PC
Practice context
Multi-provider organization. 6 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.