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Center for Pediatric Dentistry, LLC

Pediatric Dentistry in Augusta, GA · enumerated 2006 · authorized official Mary Shirley, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164490918

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Registry record

Entity type Organization (Type 2)
Legal business name Center for Pediatric Dentistry, LLC
Other name <Unavail>
Practice address 1243 Augusta West Pkwy, Augusta, GA, 30909
Phone (706) 855-8989
Fax (706) 855-0321
Enumeration date Mar 9, 2006
Last updated in NPPES Jan 18, 2021

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers · License 11680 (GA) Primary

Authorized official

Name Mary Shirley
Title Administrator
Phone (706) 855-8989

Other identifiers

Identifier Type State Issuer
945328611A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Center for Pediatric Dentistry, LLC?
The NPI for Center for Pediatric Dentistry, LLC is 1164490918, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Center for Pediatric Dentistry, LLC?
NPPES lists Mary Shirley (Administrator) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-01-18.