East Atlanta Pediatric Dentistry Pc
Pediatric Dental Clinic
2646 Gresham Rd Se, Atlanta
Georgia, 30316-4148
404-243-0929 404-243-0928
Maps & DirectionsEast Atlanta Pediatric Dentistry Pc is a Pediatric Dental Clinic in Atlanta, Georgia. It is located at 2646 Gresham Rd Se, Atlanta, GA and its contact number is 404-243-0929. The authorized person for East Atlanta Pediatric Dentistry Pc is Teresa Jordan
who is Dentist/owner of the clinic and their contact number is 404-243-0929. The primary license number for East Atlanta Pediatric Dentistry Pc is DN012645 (Pediatric Dentistry) in Georgia.
East Atlanta Pediatric Dentistry 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:
East Atlanta Pediatric Dentistry Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | East Atlanta Pediatric Dentistry Pc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 2646 Gresham Rd Se, Atlanta,
Georgia, 30316-4148 |
| Phone: | 404-243-0929 |
| Fax: | 404-243-0928 |
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: | Teresa Jordan |
| Position: | Dentist/owner |
| Contact Number: | 404-243-0929 |
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 East Atlanta Pediatric Dentistry Pc clinic are as mentioned below.
| NPI Number: | 1740688142 |
| NPI Enumeration Date: | 17 Dec, 2014 |
| NPI Last Update On: | 17 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 East Atlanta Pediatric Dentistry Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | DN012645 | 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 |
| 1780888693 | Other | Georgia | Nppes |
| DN012645 | Other | Georgia | Dental License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | East Atlanta Pediatric Dentistry Pc
2646 Gresham Rd Se,
Atlanta, Georgia |
| Zip: | 30316-4148 |
| Phone Number: | 404-243-0929 |
| Fax Number: | 404-243-0928 |
Patients can reach East Atlanta Pediatric Dentistry Pc at
2646 Gresham Rd Se, Atlanta, Georgia or can
call to book an appointment on 404-243-0929.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.