NPI age
6 years
Enumerated 2020-04-14
● Active Type 2 · Organization
Mouthpeace Dental 4, Llc
Mouthpeace Dental 4, Llc 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
Wells
Owner /dentist
Last NPPES update
2020-04-14
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
6 years
≈ at median (6 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-04Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
541 Forest Pkwy Ste 18
Forest Park, GA 302976110
Mailing address
2149 Brannen Rd Se
Atlanta, GA 303164117
Authorized official
Syretta Wells, DDS
Owner /dentist
📞 3123711423
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
MouthPeace Dental
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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.