P Praxis·MD
● Active Type 2 · Organization

Statesboro Pediatric Dentistry, Llc

Dentist·Statesboro, GA· NPI 1568935286 · Enumerated 2019 · 7 years on NPI
Statesboro Pediatric Dentistry, Llc is 1 of 539 dentist organizations in Georgia.
NPI age
7 years
Enumerated 2019-01-04
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Patel
Dentist/owner
Last NPPES update
2019-01-04
Source: monthly bulk 2026-05

How this organization compares

Across 539 active dentist providers in Georgia.

NPI age
7 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2019 → 2026

2019-01Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
613 E Grady St
Statesboro, GA 304585104
📞 4784565907
Mailing address
101 Irongate Pl
Statesboro, GA 304589195
📞 4784565907

Authorized official

Anjali Puri Patel, DMD
Dentist/owner
📞 4784565907

Individual providers at this organization

2 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.
    taxonomy 1223P0221X

Practice context

Multi-provider organization. 2 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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