STONE MOUNTAIN DENTAL PC NPI 1194997726

NPI Information

  • NPI: 1194997726
  • Provider Name: STONE MOUNTAIN DENTAL PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 4813 ROCKBRIDGE RD STE 26
    STONE MOUNTAIN, GA
    ZIP 30083
  • Phone: (404) 292-9838

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NPI Details

STONE MOUNTAIN DENTAL PC is a general practice dentist in Stone Mountain, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. STONE MOUNTAIN DENTAL PC NPI is 1194997726. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4813 ROCKBRIDGE RD STE 26
STONE MOUNTAIN, GA
ZIP 30083-200
Phone: (404) 292-9838
Fax: (404) 292-8344

The provider's authorized official is Schadale Stevens .
The authorized official title is Ownerr and has the following contact phone number (404) 292-8383.

The enumeration date for this NPI number is 3/24/2008 and was last updated on 3/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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