Herrin Cpds Pc is a Pediatric Dental Clinic in College Park, Georgia. It is located at 1571 Phoenix Blvd Ste 8, College Park, GA and its contact number is 844-682-4737. The authorized person for Herrin Cpds Pc is Dr. Marcus Quran Polk
who is Practice Manager of the clinic and their contact number is 404-403-4567. The primary license number for Herrin Cpds Pc is DN014185 (Pediatric Dentistry) in Georgia.
Herrin Cpds Pc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Herrin Cpds Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Herrin Cpds Pc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 1571 Phoenix Blvd Ste 8, College Park,
Georgia, 30349-5536 |
| Phone: | 844-682-4737 |
| Fax: | 404-521-4044 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Marcus Quran Polk |
| Position: | Practice Manager |
| Contact Number: | 404-403-4567 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Herrin Cpds Pc clinic are as mentioned below.
| NPI Number: | 1629584586 |
| NPI Enumeration Date: | 14 Dec, 2017 |
| NPI Last Update On: | 17 Mar, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Herrin Cpds Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | DN014185 | Georgia | Primary | |
| Pediatric Dentistry | DN013021 | Georgia | Secondary | |
| Pediatric Dentistry | DN014898 | Georgia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 003198439A | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Herrin Cpds Pc
Po Box 370160,
Decatur, Georgia |
| Zip: | 30037-0160 |
| Phone Number: | 404-403-4567 |
| Fax Number: | 404-521-4044 |
Patients can reach Herrin Cpds Pc at
1571 Phoenix Blvd Ste 8, College Park, Georgia or can
call to book an appointment on 844-682-4737.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.