PEDIATRIC DENTAL SPECIALIST OF HIRAM – Pediatric Dentistry, NPI 1245617364

PEDIATRIC DENTAL SPECIALIST OF HIRAM is a healthcare provider. based in Hiram, Georgia. specializing in Pediatric Dentistry. The organization holds a License No. DN013367 (GA). The NPI Number for PEDIATRIC DENTAL SPECIALIST OF HIRAM is 1245617364

Main info

Organization
Name
PEDIATRIC DENTAL SPECIALIST OF HIRAM
NPI
1245617364
Phone
(770) 943-0011
Address
5604 WENDY BAGWELL PKWY
Authorized Official
DR. MINDY LYNN SIMMS PRESIDENT DDS
Enumeration Date
27 April 2015
Last Update Date
27 April 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for PEDIATRIC DENTAL SPECIALIST OF HIRAM

  • 5604 WENDY BAGWELL PKWY

    SUITE 1100

    HIRAM, GA 301417813

    Phone: (770) 943-0011

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30141)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to PEDIATRIC DENTAL SPECIALIST OF HIRAM?
NPI 1245617364 is assigned to PEDIATRIC DENTAL SPECIALIST OF HIRAM under the national enumeration system.
Is PEDIATRIC DENTAL SPECIALIST OF HIRAM currently active in the NPI registry?
CMS-published data lists PEDIATRIC DENTAL SPECIALIST OF HIRAM as an active registrant.
What does PEDIATRIC DENTAL SPECIALIST OF HIRAM treat or focus on?
Patients typically see PEDIATRIC DENTAL SPECIALIST OF HIRAM under the specialty Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
Does PEDIATRIC DENTAL SPECIALIST OF HIRAM practice in Georgia?
You will see Hiram, Georgia on file for PEDIATRIC DENTAL SPECIALIST OF HIRAM alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

DR. DEREK DESHAN MASON (DDS)

Pediatric Dentistry
126 ENTERPRISE PATH
NPI: 1679566475
126, Enterprise Path, Echo Ridge, Hiram, Paulding County, Georgia, 30141, United States
NPI: 1730275306

DR. MINDY LYNN SIMMS (DDS)

Pediatric Dentistry
5604, Wendy Bagwell Parkway, Hiram, Paulding County, Georgia, 30141, United States
NPI: 1992873210

KEVIN R JACKSON (DDS)

Pediatric Dentistry
Macland Road, Macland Springs, Paulding County, Georgia, 30141, United States
NPI: 1265570683
320 LYNN DR
NPI: 1750270344