NPI age
4 years
Enumerated 2021-10-02
● Active Type 2 · Organization
The Buckley Dental Center Pc
The Buckley Dental Center Pc is 1 of 507 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Buckley
Owner
Last NPPES update
2021-10-02
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
4 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-10Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
2325 Glenwood Ave Se
Atlanta, GA 303162362
Mailing address
4807 Wigley Rd Ne
Marietta, GA 300661503
Authorized official
Elisha Elisha Buckley
Owner
📞 6785247364
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Niariah Fields, DDS Dentist NPI 1003548868
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
East Lake Family Dental
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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