Healthcare Provider Details

I. General information

NPI: 1972442747
Provider Name (Legal Business Name): CHILDREN'S DENTISTRY OF LITHONIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7215 STONECREST PKWY
LITHONIA GA
30038-2563
US

IV. Provider business mailing address

7215 STONECREST PKWY
LITHONIA GA
30038-2563
US

V. Phone/Fax

Practice location:
  • Phone: 770-482-4661
  • Fax: 770-264-5229
Mailing address:
  • Phone: 770-482-4661
  • Fax: 770-264-5229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: TODD L ASARCH
Title or Position: OWNER
Credential: DDS
Phone: 770-482-4661