P Praxis·MD
● Active Type 2 · Organization

Eastlight Dental, L.l.c.

Clinic/Center·Stone Mountain, GA· NPI 1689152282 · Enumerated 2018 · 7 years on NPI
Eastlight Dental, L.l.c. is 1 of 507 clinic/center organizations in Georgia.
NPI age
7 years
Enumerated 2018-08-06
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Thomas
Owner
Last NPPES update
2018-09-18
Source: monthly bulk 2026-05

How this organization compares

Across 507 active clinic/center providers in Georgia.

NPI age
7 years
≈ at median (6 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
2536 Rockbridge Rd Ste 103
Stone Mountain, GA 300873636
📞 6783955913
Mailing address
2536 Rockbridge Rd Ste 103
Stone Mountain, GA 300873636
📞 6783955913fax 6783955678

Authorized official

Edmund Thomas, DDS
Owner
📞 7169492183

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QD0000X

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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