Organization
SOUTHLAND CHILDRENS DENTISTRY BAINBRIDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH S SELLERS JR. DMD (OWNER/DENTIST)
(229) 246-6372
Entity
Organization
Contact information
Practice address
1503 E SHOTWELL ST., BAINBRIDGE, GA 39819-4255
(229) 246-6372
(260) 529-7745
Mailing address
1503 E SHOTWELL ST., BAINBRIDGE, GA 39819-4255
(229) 246-6372
(260) 529-7745
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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