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

Ga Sds III PC

Organization Pediatric Dentistry · NPI 1508639535

Ga Sds III PC is a Pediatric Dentistry in Atlanta, Georgia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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

91 W Wieuca Rd NE Ste 300
Atlanta, GA 30342-3248
Phone: (404) 303-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X
Pediatric Dentistry Taxonomy 1223P0221X

Record details

NPI number1508639535
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Vial — Direc Of Cred And Prov Rel · (504) 638-0303
NPI enumeratedNovember 1, 2023
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023
Mailing address401 Church St Ste 1400, Nashville, TN 37219-2214

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