CREATIVE DENTISTRY OF ATLANTA NPI 1801389812

NPI Information

  • NPI: 1801389812
  • Provider Name: CREATIVE DENTISTRY OF ATLANTA
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 5505 PEACHTREE DUNWOODY ROAD
    SUITE 460
    ATLANTA, GA
    ZIP 30342
  • Phone: (404) 883-3287

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NPI Details

CREATIVE DENTISTRY OF ATLANTA is a general practice dentist in Atlanta, 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. CREATIVE DENTISTRY OF ATLANTA NPI is 1801389812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5505 PEACHTREE DUNWOODY ROAD
SUITE 460
ATLANTA, GA
ZIP 30342
Phone: (404) 883-3287
Fax: (404) 883-3289

The provider's authorized official is Anitha R Reddy .
The authorized official title is Ceo/owner and has the following contact phone number (404) 883-3287.

The enumeration date for this NPI number is 6/13/2018 and was last updated on 6/13/2018.

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 PracticeDN012610GEORGIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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