NPI age
13 years
Enumerated 2013-05-21
● Active
Type 1 · Individual
DR. Aaron R Mulyadi, D.M.D
Mulyadi is 1 of 283 dentist providers in Atlanta and 1 of 2660 in Georgia.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, MA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2660 active dentist providers in Georgia.
NPI age
13 years
≈ at median (14 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-05Enumerated in NPPES
2013
2026
Where they practice
Practice location
699 Ponce De Leon Ave Ne Ste 1
Atlanta, GA 303081800
Mailing address
1160 McKendree Park Ln
Lawrenceville, GA 300437062
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 5 new dentist providers have been added in Atlanta in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.