Provider Demographics
NPI:1518856939
Name:D&S PEDIATRIC DENTAL SPECIALISTS, LLC
Entity type:Organization
Organization Name:D&S PEDIATRIC DENTAL SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DARIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:SANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:678-525-0016
Mailing Address - Street 1:1081 JUNIPER ST NE
Mailing Address - Street 2:APT 2508
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309
Mailing Address - Country:US
Mailing Address - Phone:678-525-0016
Mailing Address - Fax:
Practice Address - Street 1:5915 E LAKE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-4830
Practice Address - Country:US
Practice Address - Phone:470-660-5380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty