MEDICARE: HAPPY CHILDREN PEDIATRIC DENTISTRY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry
2	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1780518258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY CHILDREN PEDIATRIC DENTISTRY PC

Provider Business Mailing Address
First Line	:	4375 COBB PKWY SE STE 110
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5537
Country	:	US
Telephone Number	:	770-541-9131
Fax Number	:	770-541-9131

Provider Business Practice Location Address
First Line	:	4375 COBB PKWY SE STE 110
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5537
Country	:	US
Telephone Number	:	770-541-9131
Fax Number	:	770-541-9131

Authorized Official
Title or Position	:	DOCTOR/OWNER
Name	:	DR. JINA YOO
Credential	:	DDS
Telephone Number	:	770-541-9131

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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Directions to “HAPPY CHILDREN PEDIATRIC DENTISTRY PC ” Practice Location

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