NPI age
15 years
Enumerated 2010-10-27
● Active Type 2 · Organization
Radiant Dental
Radiant Dental is 1 of 62 exclusive provider organization organizations in Georgia.
Primary specialty
Exclusive Provider Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Patel
Dentist
Last NPPES update
2010-10-27
Source: monthly bulk 2026-05
How this organization compares
Across 62 active exclusive provider organization providers in Georgia.
NPI age
15 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-10Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
4745 Nelson Brogdon Blvd
Buford, GA 30518
Mailing address
4745 Nelson Brogdon Blvd
Buford, GA 30518
Authorized official
Nimisha Patel
Dentist
📞 7702714411
Specialties
-
Exclusive Provider Organization Primary(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 830482898A |
Practice context
Single-site organization. Only one practice location on file.
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- 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.