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NPI 1063378966
● Active Type 2 · Organization
Southeast Oral Diagnostics Llc
Dentist · Alpharetta, GA · NPI 1063378966
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Enumerated 2026 · 0 years on NPI
Southeast Oral Diagnostics Llc is 1 of 23 dentist organizations in Georgia.
NPI age
— years
Enumerated 2026-01-05
Primary specialty
Dentist
Practice locations
4
3 secondary on file
Status
Active
No deactivations on record
Authorized official
Wetzel
Owner/ Dentist
Last NPPES update
2026-01-05
Source: monthly bulk 2026-05
How this organization compares
Across 23 active dentist providers in Georgia.
NPI age
0 years
↓ 19 yr below median
Practice locations
4
3 secondary on file
NPI lifetime · 2026 → 2026
2026-01 Enumerated in NPPES
2026
2026
Where they practice
Primary practice location
282 Rucker Rd Ste 110
Alpharetta, GA 300045826
📞 7709924844
Mailing address
346 Preston Ave
Lexington, KY 405021532
📞 7709924844
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
550 Pharr Rd Ne Ste 325
Atlanta, GA 303053450
📞 4042338221
Location 3
755 Commerce Dr Ste A
Decatur, GA 300302613
📞 4043782331
Location 4
5555 Peachtree Dunwoody Rd Ste G56
Atlanta, GA 303421700
📞 4042525626
Authorized official
Stephanie Wetzel
Owner/ Dentist
📞 7709924844
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Dentist
Primary
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and...
taxonomy 1223P0106X
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
Plus 3 secondary practice locations.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.