NPI age
4 years
Enumerated 2021-06-21
● Active Type 2 · Organization
Kdnga Llc
Kdnga Llc is 1 of 539 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Greene
Finance Manager
Last NPPES update
2021-06-22
Source: monthly bulk 2026-05
How this organization compares
Across 539 active dentist providers in Georgia.
NPI age
4 years
↓ 12 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-06Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
1207 Sherwood Park Dr Ne
Gainesville, GA 305013444
Mailing address
1207 Sherwood Park Dr Ne
Gainesville, GA 305013444
Additional practice locations
1 secondary location on file with NPPES.
Location 2
7316 Spout Springs Rd Ste 102
Flowery Branch, GA 305425671
Authorized official
Brittany Greene
Finance Manager
📞 6784507011
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Emily Simon, D.M.D. Dentist NPI 1790049047
- Ryan Vaughn, D.M.D. Dentist NPI 1790985620
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) | 003175666B | |
| 01 (GA) | 1790049047 | NPI |
| 01 (GA) | 1790985620 | NPI |
| 05 (GA) | 801406612B |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Kid's Dentistry of North Georgia
-
Kid's Dentistry of North Georgia
Practice context
Multi-provider organization. 2 individual providers on file at this primary address. Plus 1 secondary practice location.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.