Premier Dental INC
Dentist, General Practice in Atlanta, GA. Organization (NPI-2).
NPI number1497928063
StatusActive
Last updated in NPPESApr 3, 2008
Details
- NPI
- 1497928063
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Dental INC
- Organization subpart
- No
- Enumeration date
- Apr 3, 2008
- Last updated
- Apr 3, 2008
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 | 011973 | GA | Yes |
Practice location
8097 Roswell RdBldg E
Atlanta, GA 30350-6159
Phone 770-642-4711
Mailing address
8097 Roswell RdBldg E
Atlanta, GA 30350-6159
Phone 770-642-4711
Authorized official
Danielle Denise Greene
President
4049151666
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