PEACHTREE CHILDREN'S DENTISTRY – Pediatric Dentistry, NPI 1770754772

PEACHTREE CHILDREN'S DENTISTRY is a healthcare provider. based in Duluth, Georgia. specializing in Pediatric Dentistry. The organization holds a License No. DNO12519 (GA). The NPI Number for PEACHTREE CHILDREN'S DENTISTRY is 1770754772

Main info

Organization
Name
PEACHTREE CHILDREN'S DENTISTRY
NPI
1770754772
Phone
(770) 497-0110
Address
3820 PLEASANT HILL RD, SUITE 1
Authorized Official
NAMEUN NANCY KIL DOCTOR/BUSINESS OWNER DDS
Enumeration Date
18 March 2008
Last Update Date
14 June 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:18State licenses:2Digital endpointsOther names

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Provider Addresses for PEACHTREE CHILDREN'S DENTISTRY

  • Pleasant Hill Road, Chattawood, Duluth, Gwinnett County, Georgia, 30096, United States

    DULUTH, GA 30096

    Phone: (770) 497-0110

    Fax: (770) 497-0580

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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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.

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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 30096)

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Reviews

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Frequently asked questions

What is the standard ID for PEACHTREE CHILDREN'S DENTISTRY in the U.S.?
In the U.S., PEACHTREE CHILDREN'S DENTISTRY is identified by NPI 1770754772.
Quick check: is PEACHTREE CHILDREN'S DENTISTRY active?
Public NPPES data shows PEACHTREE CHILDREN'S DENTISTRY with an active NPI status right now.
What services align with PEACHTREE CHILDREN'S DENTISTRY's listing?
PEACHTREE CHILDREN'S DENTISTRY's public classification highlights Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PEACHTREE CHILDREN'S DENTISTRY?
PEACHTREE CHILDREN'S DENTISTRY is associated with Duluth, Georgia in the same public data insurers reference.
Who maintains PEACHTREE CHILDREN'S DENTISTRY's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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