NPI age
1 years
Enumerated 2024-07-08
● Active Type 2 · Organization
Subpart
Providence Dental Llc
Providence Dental Llc is 1 of 507 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
Director
Last NPPES update
2024-07-08
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
1 years
↓ 5 yr below median
Practice locations
3
2 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-07Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
225 N MacOn St
MacOn, GA 312106562
Mailing address
555 Sun Valley Dr Ste C3
Roswell, GA 300765621
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
7000 Peachtree Dunwoody Rd Bldg 2
Sandy Springs, GA 303281655
Location 3
555 Sun Valley Dr Ste C3
Roswell, GA 300765621
Authorized official
Heather Taylor
Director
📞 4787330857
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Ashna Shah, DMD Dentist NPI 1891472031
- Karan Thachil, DMD Dentist NPI 1689196644
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Inspire Dental Roswell
Practice context
Multi-provider organization. 2 individual providers on file at this primary address. Plus 2 secondary practice locations.
Subpart of Providence Dental Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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