Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

East Atlanta Pediatric Dentistry PC

Organization Pediatric Dentistry · NPI 1740688142

East Atlanta Pediatric Dentistry PC provides Pediatric Dentistry in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
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

2646 Gresham Rd SE
Atlanta, GA 30316-4148 Not confirmed with CMS for 11 years — call before visiting
Phone: (404) 243-0929
Fax: (404) 243-0928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN012645 (GA)

Record details

NPI number1740688142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Jordan — Dentist/Owner · (404) 243-0929
NPI enumeratedDecember 17, 2014
Last updated in NPPESDecember 17, 2014
Mailing address2646 Gresham Rd Se, Atlanta, GA 30316-4148

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