NPI age
10 years
Enumerated 2016-03-31
● Active Type 2 · Organization
Centers For Pediatric Dental Sedation Llc
Centers For Pediatric Dental Sedation Llc is 1 of 507 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Polk
Anesthesiologist
Last NPPES update
2016-03-31
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
10 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-03Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
1631 Phoenix Blvd Ste 8
College Park, GA 303495545
Mailing address
Po Box 370160
Decatur, GA 300370160
Authorized official
Marcus Quran Polk, M.D.
Anesthesiologist
📞 4044034567
Specialties
-
Clinic/Center PrimaryDefinition to come...
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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