P Praxis·MD
● Active Type 2 · Organization Subpart

Ga Specialty Dental Services, Pc

Dentist·Suwanee, GA· NPI 1366208431 · Enumerated 2024 · 2 years on NPI
Ga Specialty Dental Services, Pc is 1 of 358 dentist organizations in Georgia.
NPI age
2 years
Enumerated 2024-02-26
Primary specialty
Dentist
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Dasch
Director Of Credentialing &pr
Last NPPES update
2025-02-28
Source: monthly bulk 2026-05

How this organization compares

Across 358 active dentist providers in Georgia.

NPI age
2 years
↓ 16 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-02Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
4355 Johns Creek Pkwy Ste 530
Suwanee, GA 300249100
📞 7704959193
Mailing address
1610 54th Ave N Ste 205
Nashville, TN 372091442
📞 6156780759

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1380 Peachtree Industrial Blvd Ste 100
Suwanee, GA 300243793
📞 7702321191

Authorized official

Charlotte Dasch
Director Of Credentialing &pr
📞 5046380303

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    taxonomy 1223S0112X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Signature Dental Implants and Oral Surgery
    Type code 3 recorded 2025-02-28

Practice context

Multi-provider organization. 1 individual provider on file at this primary address. Plus 1 secondary practice location.

Subpart of Ga Specialty Dental Services, Pc.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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