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

GA SOUTHERN DENTAL PPO

Active Organization

GA SOUTHERN DENTAL PPO is a Dentist organization located in MARIETTA, Georgia. NPI 1902695521 is currently active in the NPPES registry. Verify at CMS.

Dentist · MARIETTA, GA

Registration Details

NPI Number
1902695521
Provider Type
Organization
NPI Issued
May 1, 2025 (1.2838221166239 yrs)
Last Updated
May 1, 2025

Practice Information

Address
365 VILLA RICA WAY SW
MARIETTA, GA, 300645727
Browse GA providers · Browse ZIP 30064
Phone
7704281999
Primary Specialty
Dentist
122300000X
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.