P Praxis·MD
● Active Type 1 · Individual

DR. Natasha Alexis Lisin-Queen, DMD

Dentist·Marietta, GA· NPI 1902068372 · Enumerated 2008 · 17 years on NPI
Lisin-Queen is 1 of 127 dentist providers in Marietta and 1 of 2660 in Georgia.
NPI age
17 years
Enumerated 2008-06-27
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, MA
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-01-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
17 years
↑ 3 yr above median (14 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Practice location
2500 Dallas Hwy Sw
Marietta, GA 300642567
📞 4074629828
Mailing address
230 Chickering Lake Dr
Roswell, GA 300753278
📞 3144989006

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3245 Peachtree Pkwy Ste H
Suwanee, GA 300241097
📞 4702398110

Specialties

  • Dentist Primary
    A 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...
    GA license #DN014359MA license #22194 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new dentist provider has been added in Marietta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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