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

Center for Pediatric Dentistry, LLC

Organization Pediatric Dentistry · NPI 1164490918

Center for Pediatric Dentistry, LLC provides Pediatric Dentistry in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1243 Augusta West Pkwy
Augusta, GA 30909-1807
Phone: (706) 855-8989
Fax: (706) 855-0321
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 11680 (GA)

Record details

NPI number1164490918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Shirley — Administrator · (706) 855-8989
Other names Center For Pediatric Dentistry, Pc
NPI enumeratedMarch 9, 2006
Last updated in NPPESJanuary 18, 2021
Certification dateJanuary 18, 2021
Mailing address1243 Augusta West Pkwy, Augusta, GA 30909-1807

Other providers in Augusta