NPI age
11 years
Enumerated 2014-12-17
● Active Type 2 · Organization
East Atlanta Pediatric Dentistry Pc
East Atlanta Pediatric Dentistry Pc is 1 of 539 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jordan
Dentist/owner
Last NPPES update
2014-12-17
Source: monthly bulk 2026-05
How this organization compares
Across 539 active dentist providers in Georgia.
NPI age
11 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-12Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
2646 Gresham Rd Se
Atlanta, GA 303164148
Mailing address
2646 Gresham Rd Se
Atlanta, GA 303164148
Authorized official
Teresa Jordan, DMD
Dentist/owner
📞 4042430929
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Teresa Jordan, DMD Dentist NPI 1780888693
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 |
|---|---|---|
| 01 (GA) | 1780888693 | NPPES |
| 01 (GA) | DN012645 | DENTAL LICENSE |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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