Healthcare Provider Details

I. General information

NPI: 1396657706
Provider Name (Legal Business Name): ERIN PICKWICK, DMD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2023 GRAYSON HWY STE 203
GRAYSON GA
30017-5047
US

IV. Provider business mailing address

2023 GRAYSON HWY STE 203
GRAYSON GA
30017-5047
US

V. Phone/Fax

Practice location:
  • Phone: 678-758-6178
  • Fax:
Mailing address:
  • Phone: 678-226-4466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIN PICKWICK
Title or Position: OWNER
Credential: DMD
Phone: 678-226-4466