Childrens Dental Village, Llc
Pediatric Dental Clinic
9420 Willeo Rd, Suite 104, Roswell
Georgia, 30075-6772
678-352-8108 678-352-8107
Maps & DirectionsChildrens Dental Village, Llc is a Pediatric Dental Clinic in Roswell, Georgia. It is located at 9420 Willeo Rd, Suite 104, Roswell, GA and its contact number is 678-352-8108. The authorized person for Childrens Dental Village, Llc is Priya Madhiwala
who is Dentist/owner of the clinic and their contact number is 678-352-8108. The primary license number for Childrens Dental Village, Llc is DN014199 (Pediatric Dentistry) in Georgia.
Childrens Dental Village, Llc 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:
Childrens Dental Village, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Childrens Dental Village, Llc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 9420 Willeo Rd, Suite 104, Roswell,
Georgia, 30075-6772 |
| Phone: | 678-352-8108 |
| Fax: | 678-352-8107 |
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: | Priya Madhiwala |
| Position: | Dentist/owner |
| Contact Number: | 678-352-8108 |
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 Childrens Dental Village, Llc clinic are as mentioned below.
| NPI Number: | 1356749964 |
| NPI Enumeration Date: | 12 Dec, 2014 |
| NPI Last Update On: | 22 Dec, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Childrens Dental Village, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | DN014199 | Georgia | Primary | |
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 |
| 1861641698 | Other | Georgia | Individual Npi |
| 003106680 | 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: | Childrens Dental Village, Llc
9420 Willeo Rd, Suite 104
Roswell, Georgia |
| Zip: | 30075-6772 |
| Phone Number: | 678-352-8108 |
| Fax Number: | 678-352-8107 |
Patients can reach Childrens Dental Village, Llc at
9420 Willeo Rd, Suite 104, Roswell, Georgia or can
call to book an appointment on 678-352-8108.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.