P Praxis·MD
● Active Type 2 · Organization Subpart

Ga Specialty Dental Services Ii, Pc

Dentist·Suwanee, GA· NPI 1376390005 · Enumerated 2024 · 2 years on NPI
Ga Specialty Dental Services Ii, Pc is 1 of 539 dentist organizations in Georgia.
NPI age
2 years
Enumerated 2024-05-01
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dasch
Director Of Cred And Prov Relations
Last NPPES update
2024-05-01
Source: monthly bulk 2026-05

How this organization compares

Across 539 active dentist providers in Georgia.

NPI age
2 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-05Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
1380 Peachtree Industrial Blvd Ste 150
Suwanee, GA 300243795
📞 7706148914
Mailing address
1610 54th Ave N Ste 205
Nashville, TN 372091442
📞 6156780759

Authorized official

Charlotte Dasch
Director Of Cred And Prov Relations
📞 5046380303

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
    taxonomy 1223P0221X

Other names on file (1)

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

  • Suwanee Pediatric Dentistry
    Type code 3 recorded 2024-05-01

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

Subpart of Ga Specialty Dental Services Ii, 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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