FOREST PARK DENTURE CENTER NPI 1811714033

NPI Information

  • NPI: 1811714033
  • Provider Name: FOREST PARK DENTURE CENTER
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 4487 JONESBORO RD
    FOREST PARK, GA
    ZIP 30297
  • Phone: (404) 549-9752

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NPI Details

FOREST PARK DENTURE CENTER is a dental clinic center in Forest Park, GA. FOREST PARK DENTURE CENTER NPI is 1811714033. The provider is registered as an organization entity type.

The provider's business location address is:

4487 JONESBORO RD
FOREST PARK, GA
ZIP 30297-316
Phone: (404) 549-9752
Fax: (404) 549-2786

The provider's authorized official is Kirk Sudeall .
The authorized official title is Dentist and has the following contact phone number (404) 549-9752.

The enumeration date for this NPI number is 9/20/2024 and was last updated on 9/20/2024.

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
1261QD0000XClinic/CenterDentalYes

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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