Atlanta Emergency Dental Center
Dentist, General Practice in Tucker, GA. Organization (NPI-2).
NPI number1447480652
StatusActive
Last updated in NPPESJul 22, 2009
Details
- NPI
- 1447480652
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlanta Emergency Dental Center
- Organization subpart
- No
- Enumeration date
- Jul 22, 2009
- Last updated
- Jul 22, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 8962 | GA | Yes |
Practice location
4060 Lavista RdTucker, GA 30084-5216
Phone 770-934-0770 · Fax 770-934-3063
Mailing address
4060 Lavista RdTucker, GA 30084-5216
Phone 770-934-0770 · Fax 770-934-3063
Authorized official
Leon Grayland Pye
President
7709340770
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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