Healthcare Provider Details

I. General information

NPI: 1780518258
Provider Name (Legal Business Name): HAPPY CHILDREN PEDIATRIC DENTISTRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4375 COBB PKWY SE STE 110
ATLANTA GA
30339-5537
US

IV. Provider business mailing address

4375 COBB PKWY SE STE 110
ATLANTA GA
30339-5537
US

V. Phone/Fax

Practice location:
  • Phone: 770-541-9131
  • Fax: 770-541-9131
Mailing address:
  • Phone: 770-541-9131
  • Fax: 770-541-9131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JINA YOO
Title or Position: DOCTOR/OWNER
Credential: DDS
Phone: 770-541-9131