NPI age
17 years
Enumerated 2008-06-09
● Active Type 2 · Organization
Childrens Dentistry Of Lithonia Llc
Childrens Dentistry Of Lithonia Llc is 1 of 507 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tewogbade
Owner
Last NPPES update
2008-06-09
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
17 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
374 C North Deshon Road
Stone Mountain, GA 30087
Mailing address
Po Box 870272
Stone Mountain, GA 300870007
Authorized official
Adesegun Olushola Tewogbade, DMD
Owner
📞 7704694192
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1952449944 | INDIVIDUAL NPI |
| 05 (GA) | 853805701A |
Practice context
Single-site organization. Only one practice location on file.
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- 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.