FOREST PARKWAY DENTAL GROUP NPI 1770622201

NPI Information

  • NPI: 1770622201
  • Provider Name: FOREST PARKWAY DENTAL GROUP
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • CLIA Number: 11D0983603
  • Address: 4930 GOVERNORS DR
    SUITE 405
    FOREST PARK, GA
    ZIP 30297
  • Phone: (404) 363-1700

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NPI Details

FOREST PARKWAY DENTAL GROUP is a general practice dentist in Forest Park, 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. FOREST PARKWAY DENTAL GROUP NPI is 1770622201. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4930 GOVERNORS DR
SUITE 405
FOREST PARK, GA
ZIP 30297-101
Phone: (404) 363-1700
Fax: (850) 837-2042

The provider's authorized official is Julie Mast .
The authorized official title is Office Manager and has the following contact phone number (404) 363-1700.

The CLIA number assigned to this NPI record is 11D0983603 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 8/22/2020.

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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