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

Statesboro Pediatric Dentistry, LLC

Organization Pediatric Dentistry · NPI 1568935286

Statesboro Pediatric Dentistry, LLC is a Pediatric Dentistry in Statesboro, Georgia. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

613 E Grady St
Statesboro, GA 30458-5104
Phone: (478) 456-5907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1568935286
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anjali Patel — Dentist/Owner · (478) 456-5907
NPI enumeratedJanuary 4, 2019
Last updated in NPPESJanuary 4, 2019
Mailing address101 Irongate Pl, Statesboro, GA 30458-9195

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