NPI age
8 years
Enumerated 2017-12-14
● Active Type 2 · Organization
Herrin Cpds Pc
Herrin Cpds Pc 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
Polk
Practice Manager
Last NPPES update
2018-03-17
Source: monthly bulk 2026-05
How this organization compares
Across 539 active dentist providers in Georgia.
NPI age
8 years
↓ 8 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-12Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
1571 Phoenix Blvd Ste 8
College Park, GA 303495536
Mailing address
Po Box 370160
Decatur, GA 300370160
Additional practice locations
1 secondary location on file with NPPES.
Location 2
8052 Mall Pkwy Ste 205
Lithonia, GA 300382649
Authorized official
Marcus Quran Polk, MD
Practice Manager
📞 4044034567
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) | 003198439A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Centers for Pediatric Dental Sedation
Practice context
Multi-site organization. 1 additional 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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.