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

Fayetteville Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1073056933

Fayetteville Pediatric Dentistry is a Pediatric Dentistry in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016

Practice location Address checks out

320 N Jeff Davis Dr Ste C
Fayetteville, GA 30214-1669
Phone: (770) 651-1000
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN013057 (GA)

Record details

NPI number1073056933
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vishant Nath — Dentist · (770) 651-1000
NPI enumeratedNovember 28, 2016
Last updated in NPPESNovember 28, 2016
Mailing address320 N Jeff Davis Dr, Suite C, Fayetteville, GA 30214-1669

Other providers in Fayetteville