Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Center for Pediatric Dentistry, LLC

Organization Pediatric Dentistry · NPI 1164490918

Center for Pediatric Dentistry, LLC is a Pediatric Dentistry in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1243 Augusta West Pkwy
Augusta, GA 30909-1807
Phone: (706) 855-8989
Fax: (706) 855-0321
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 11680 (GA)

Record details

NPI number1164490918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Shirley — Administrator · (706) 855-8989
Other names Center For Pediatric Dentistry, Pc
NPI enumeratedMarch 9, 2006
Last updated in NPPESJanuary 18, 2021
Certification dateJanuary 18, 2021
Mailing address1243 Augusta West Pkwy, Augusta, GA 30909-1807

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