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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHEAST ORAL DIAGNOSTICS LLC

Active Organization

SOUTHEAST ORAL DIAGNOSTICS LLC is a Orthodontics & Dentofacial Orthopedics organization located in ALPHARETTA, Georgia. NPI 1063378966 is currently active in the NPPES registry. Verify at CMS.

Orthodontics & Dentofacial Orthopedics · ALPHARETTA, GA

Registration Details

NPI Number
1063378966
Provider Type
Organization
NPI Issued
Jan 5, 2026 (0.63865609497457 yrs)
Last Updated
Jan 5, 2026

Practice Information

Address
282 RUCKER RD STE 110
ALPHARETTA, GA, 300045826
Browse GA providers · Browse ZIP 30004
Phone
7709924844
Primary Specialty
Orthodontics & Dentofacial Orthopedics
1223P0106X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.