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

Oak Grove Pediatric Dentistry, PC

Organization Dentist · NPI 1942083852

Oak Grove Pediatric Dentistry, PC is a Dentist in Decatur, 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

3744 Lavista Rd
Decatur, GA 30033-1045
Phone: (770) 934-3506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Dentist Taxonomy 122300000X

Record details

NPI number1942083852
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ben Cutler — Secretary · (607) 743-9474
NPI enumeratedAugust 15, 2023
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023
Mailing address296 S Main St Ste 300, Alpharetta, GA 30009-1973

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