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

Pediatric Dentistry of Johns Creek, LLC

Organization Pediatric Dentistry · NPI 1538506720

Pediatric Dentistry of Johns Creek, LLC provides Pediatric Dentistry in Johns Creek, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
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

10475 Medlock Bridge Rd 501
Johns Creek, GA 30097-4433 Not confirmed with CMS for 13 years — call before visiting
Phone: (678) 822-9818
Fax: (678) 822-9820
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN013896 (GA)

Record details

NPI number1538506720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Hicks — Owern/Dentist · (678) 822-9818
Other names Pediatric Dentistry
NPI enumeratedMay 28, 2013
Last updated in NPPESMay 28, 2013
Mailing address10475 Medlock Bridge Rd, 501, Johns Creek, GA 30097-4433

Other providers in Johns Creek