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

East Atlanta Pediatric Dentistry PC

Organization Pediatric Dentistry · NPI 1740688142

East Atlanta Pediatric Dentistry PC is a Pediatric Dentistry in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2646 Gresham Rd SE
Atlanta, GA 30316-4148
Phone: (404) 243-0929
Fax: (404) 243-0928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN012645 (GA)

Record details

NPI number1740688142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Jordan — Dentist/Owner · (404) 243-0929
NPI enumeratedDecember 17, 2014
Last updated in NPPESDecember 17, 2014
Mailing address2646 Gresham Rd Se, Atlanta, GA 30316-4148

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