P Praxis·MD
● Active Type 2 · Organization

Windward Pediatric Dentistry

Dentist·Alpharetta, GA· NPI 1619013802 · Enumerated 2007 · 19 years on NPI
Windward Pediatric Dentistry is 1 of 539 dentist organizations in Georgia.
NPI age
19 years
Enumerated 2007-01-29
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bak
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 539 active dentist providers in Georgia.

NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
11730 Jones Bridge Rd, Ste B, C, & D
Alpharetta, GA 300055077
📞 7703440170fax 7703440169
Mailing address
11730 Jones Bridge Rd, Ste B, C, & D
Alpharetta, GA 300055077
📞 7703440170fax 7703440169

Authorized official

Yangsun Bak, DDS
President
📞 7703440170

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.
    GA license #DN012678GA license #DN012679 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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