NPI age
4 years
Enumerated 2021-11-09
● Active Type 2 · Organization
Life Bridge Dental Ga Llc
Life Bridge Dental Ga Llc is 1 of 2660 dentist organizations in Georgia.
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sullivan
Director Rcm
Last NPPES update
2021-11-09
Source: monthly bulk 2026-05
How this organization compares
Across 2660 active dentist providers in Georgia.
NPI age
4 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-11Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
675 Ponce De Leon Ave Ne
Atlanta, GA 303081884
Mailing address
8 City Blvd Ste 203
Nashville, TN 372092559
Authorized official
Kenneth Neil Sullivan
Director Rcm
📞 6156015250
Specialties
-
Dentist PrimaryA 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...
-
DentistThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
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 →
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