NPI age
11 years
Enumerated 2014-12-12
● Active Type 2 · Organization
Childrens Dental Village, Llc
Childrens Dental Village, 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
Madhiwala
Dentist/owner
Last NPPES update
2014-12-22
Source: monthly bulk 2026-05
How this organization compares
Across 539 active dentist providers in Georgia.
NPI age
11 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-12Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
9420 Willeo Rd, Suite 104
Roswell, GA 300756772
Mailing address
9420 Willeo Rd, Suite 104
Roswell, GA 300756772
Authorized official
Priya Madhiwala, DMD
Dentist/owner
📞 6783528108
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) | 1861641698 | INDIVIDUAL NPI |
| 05 (GA) | 003106680 |
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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.