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Centers for Pediatric Dental Sedation LLC

Dental Clinic/Center in College Park, GA · enumerated 2016 · authorized official Marcus Polk, Anesthesiologist.

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

National Provider Identifier

1396108056

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Registry record

Entity type Organization (Type 2)
Legal business name Centers for Pediatric Dental Sedation LLC
Practice address 1631 Phoenix Blvd Ste 8, College Park, GA, 30349
Fax (678) 519-0701
Enumeration date Mar 31, 2016
Last updated in NPPES Mar 31, 2016

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License 040758 (GA) Primary

Authorized official

Name Marcus Polk
Title Anesthesiologist

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

Where is Centers for Pediatric Dental Sedation LLC located?
The practice location on file with NPPES is in College Park, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-03-31. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-03-31.