Herrin CPDS PC

Pediatric Dentistry · Brookhaven, GA

Organization Active NPI

NPI number 1629584586

Practice location

3006 Clairmont Rd NE Ste 100
Brookhaven, GA 30329-1602
Phone
(844) 682-4737
Fax
(404) 521-4044

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NPI record

NPI
1629584586
Entity type
Organization (Type 2)
Enumeration date
December 14, 2017
Last updated
June 8, 2026
Certified
June 8, 2026
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X DN014185 GA
Pediatric Dentistry 1223P0221X DN013021 GA
Pediatric Dentistry 1223P0221X DN014898 GA

Mailing address

PO Box 370160
Decatur, GA 30037-0160
Phone
(404) 403-4567
Fax
(404) 521-4044

Authorized official

Name
Dr. Marcus Quran Polk, MD
Title
Practice Manager
Phone
(404) 403-4567

Other names

  • Centers for Pediatric Dental Sedation

Other practice locations (1)

  • 123 Marble Mill Rd NW Ste B, Marietta, GA 30060-7954 · (844) 682-4737

About Herrin CPDS PC

Herrin CPDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 3006 Clairmont Rd NE Ste 100, Brookhaven, GA 30329-1602. The NPI number 1629584586 was assigned on December 14, 2017 and the record was last updated on June 8, 2026.

Herrin CPDS PC lists 3 licenses in the registry: #DN014185 (GA) for Pediatric Dentistry; #DN013021 (GA) for Pediatric Dentistry; #DN014898 (GA) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Marcus Quran Polk, MD, Practice Manager.

Frequently asked questions

What is the NPI number of Herrin CPDS PC?

The NPI number is 1629584586.

What is the phone number of Herrin CPDS PC?

The phone number listed for the practice location is (844) 682-4737.

Where is Herrin CPDS PC located?

3006 Clairmont Rd NE Ste 100, Brookhaven, GA 30329-1602.

What is the taxonomy code for Herrin CPDS PC?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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