P Praxis·MD
● Active Type 2 · Organization Subpart

Ga Southern Dental Llc

Dentist·Alpharetta, GA· NPI 1417775909 · Enumerated 2024 · 1 years on NPI
Ga Southern Dental Llc is 1 of 2660 dentist organizations in Georgia.
NPI age
1 years
Enumerated 2024-10-02
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Menjivar
SR. Credentialing Specialist
Last NPPES update
2024-10-02
Source: monthly bulk 2026-05

How this organization compares

Across 2660 active dentist providers in Georgia.

NPI age
1 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-10Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
950 N Point Pkwy Ste 175
Alpharetta, GA 300058806
📞 7705510808
Mailing address
5830 Granite Pkwy Ste 780
Plano, TX 750246775
📞 4695966137

Authorized official

Erika Melissa Menjivar
SR. Credentialing Specialist
📞 4695966137

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    A 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...
    taxonomy 122300000X

Other names on file (1)

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

  • Smile Scapes Dentistry
    Type code 3 recorded 2024-10-02

Practice context

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

Subpart of Ga Southern Dental Llc.

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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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