P Praxis·MD
● Active Type 2 · Organization

Southern Peach Dental Pc

Dentist·Atlanta, GA· NPI 1508727157 · Enumerated 2025 · 0 years on NPI
Southern Peach Dental Pc is 1 of 4309 dentist organizations in Georgia.
NPI age
— years
Enumerated 2025-11-22
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McKellar
Cfo
Last NPPES update
2025-11-22
Source: monthly bulk 2026-05

How this organization compares

Across 4309 active dentist providers in Georgia.

NPI age
0 years
↓ 18 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2025 → 2026

2025-11Enumerated in NPPES
2025 2026

Where they practice

Primary practice location
171 Cleveland Ave Sw
Atlanta, GA 303158258
📞 6787946966
Mailing address
171 Cleveland Ave Sw
Atlanta, GA 303158258
📞 6787946966

Authorized official

David McKellar
Cfo
📞 6787946966

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    taxonomy 1223G0001X

Practice context

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

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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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