NPI age
19 years
Enumerated 2006-09-26
● Active Type 2 · Organization
Parkside Dental Practice
Parkside Dental Practice is 1 of 343 public health or welfare organizations in Georgia.
Primary specialty
Public Health or Welfare
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Matlaga DDS Gen Ptr
Owner
Last NPPES update
2008-04-20
Source: monthly bulk 2026-05
How this organization compares
Across 343 active public health or welfare providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
410 Stevens Entry
Peachtree City, GA 30269
Mailing address
410 Stevens Entry, Po Box 2606
Peachtree City, GA 30269
Authorized official
Stephen L Matlaga DDS Gen Ptr, DDS
Owner
📞 7704878882
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Stephen Matlaga, DMD Dentist NPI 1346668589
- Theresa Simmons, D.D.S. Dentist NPI 1154644979
Specialties
-
Public Health or Welfare PrimaryDefinition to come...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.