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

Pediatric Dental Specialist of Hiram

Organization Pediatric Dentistry · NPI 1245617364

Pediatric Dental Specialist of Hiram is a Pediatric Dentistry in Hiram, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015

Practice location Address checks out

5604 Wendy Bagwell Pkwy Ste 1100
Hiram, GA 30141-7813
Phone: (770) 943-0011
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN013367 (GA)

Record details

NPI number1245617364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mindy Simms — President · (330) 289-6019
NPI enumeratedApril 27, 2015
Last updated in NPPESApril 27, 2015
Mailing address5604 Wendy Bagwell Pkwy, Suite 1100, Hiram, GA 30141-7813

Other providers in Hiram