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

Pediatric Dental Center of Georgia

Organization Pediatric Dentistry · NPI 1023321205

Pediatric Dental Center of Georgia is a Pediatric Dentistry in Tifton, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010

Practice location Address checks out

820 Love Ave Ste A
Tifton, GA 31794-4000
Phone: (229) 238-3787
Fax: (229) 238-2530
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN013788 (GA)

Record details

NPI number1023321205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luther Webster — Owner · (229) 238-3787
NPI enumeratedJuly 16, 2010
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024
Mailing address820 Love Ave Ste A, Tifton, GA 31794-4000