P Praxis·MD
● Active Type 2 · Organization

Pediatric Dentistry Of Johns Creek, Llc

Dentist·Johns Creek, GA· NPI 1538506720 · Enumerated 2013 · 12 years on NPI
Pediatric Dentistry Of Johns Creek, Llc is 1 of 539 dentist organizations in Georgia.
NPI age
12 years
Enumerated 2013-05-28
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hicks
Owern/dentist
Last NPPES update
2013-05-28
Source: monthly bulk 2026-05

How this organization compares

Across 539 active dentist providers in Georgia.

NPI age
12 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-05Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
10475 Medlock Bridge Rd, 501
Johns Creek, GA 300974433
📞 6788229818fax 6788229820
Mailing address
10475 Medlock Bridge Rd, 501
Johns Creek, GA 300974433
📞 6788229818

Authorized official

James Hicks, DMD
Owern/dentist
📞 6788229818

Individual providers at this organization

10 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    An 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.
    GA license #DN013896 taxonomy 1223P0221X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Pediatric Dentistry
    Type code 3 recorded 2013-05-28

Practice context

Multi-provider organization. 10 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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