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

Centers for Pediatric Dental Sedation LLC

Organization Dental Clinic/Center · NPI 1396108056

Centers for Pediatric Dental Sedation LLC is a Dental Clinic/Center in College Park, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1631 Phoenix Blvd Ste 8
College Park, GA 30349-5545
Phone: (678) 545-1682
Fax: (678) 519-0701
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 040758 (GA)

Record details

NPI number1396108056
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcus Polk — Anesthesiologist · (404) 403-4567
NPI enumeratedMarch 31, 2016
Last updated in NPPESMarch 31, 2016
Mailing addressPo Box 370160, Decatur, GA 30037-0160

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