NPI age
19 years
Enumerated 2006-08-10
● Active Type 2 · Organization
Innovative Smiles At The Forum Pc
Innovative Smiles At The Forum Pc 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
Talley
Dentist Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 2660 active dentist providers in Georgia.
NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
5185 Peachtree Pkwy, Bldg 1200 Ste 201
Norcross, GA 30092
Mailing address
5185 Peachtree Pkwy, Bldg 1200 Ste 201
Norcross, GA 30092
Authorized official
Philip K Talley, DDS
Dentist Owner
📞 7703681110
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Nancy Caulfield, RN Registered Nurse NPI 1851526164
- Beenal Naik, M.D. Obstetrics & Gynecology NPI 1831205913
- Kathleen Vargulic, RN Registered Nurse NPI 1760617070
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.
-
Second Facility Opened
Practice context
Multi-provider organization. 3 individual providers 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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.