NPI age
1 years
Enumerated 2024-09-10
● Active Type 2 · Organization
Subpart
Ga Sothern Dental Ppo
Ga Sothern Dental Ppo is 1 of 2660 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Menjivar
SR. Credentialing Specialist
Last NPPES update
2024-09-10
Source: monthly bulk 2026-05
How this organization compares
Across 2660 active dentist providers in Georgia.
NPI age
1 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-09Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
3911 Mary Eliza Trce Nw Ste 100
Marietta, GA 300641087
Mailing address
5830 Granite Pkwy Ste 780
Plano, TX 750246775
Authorized official
Erika Melissa Menjivar
SR. Credentialing Specialist
📞 4695966137
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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Natural Smiles Dentistry
Practice context
Single-site organization. Only one practice location on file.
Subpart of Ga Sothern Dental Ppo.
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