1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Dentist
  6. NPI Profile

GLENWOOD DENTISTRY
NPI 1053769265
Dentist - General Practice in Atlanta, GA

Active since May 27, 2016
790 GLENWOOD AVE SE, SUITE 210, ATLANTA, GA 30316(404) 260-4767(404) 609-2508 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Glenwood Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENWOOD DENTISTRY (NPI 1053769265) is a healthcare organization registered as a general practice in Atlanta, Georgia and active in the NPI registry since May 2016. The organization lists Yelena L Chuzhin, Owner, as its authorized official.

NPPES Registry Identity

NPI1053769265
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGLENWOOD PARK DENTISTRY, PC
Location Address790 GLENWOOD AVE SE, SUITE 210Atlanta, GA 30316-2002
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (949) 474-1495
Phone(404) 260-4767
Fax(404) 609-2508
Organization SubpartNo
Authorized OfficialYelena L ChuzhinOwner · (404) 260-4767
Enumeration DateMay 27, 2016
Last NPPES UpdateFebruary 11, 2022
NPPES CertifiedFebruary 11, 2022
✔ NPI 1053769265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

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.

790 GLENWOOD AVE SE, Atlanta, GA 30316
Open in Google Maps ↗

Other Names 1

Doing Business AsGlenwood Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Frequently Asked Questions

What is GLENWOOD PARK DENTISTRY, PC's NPI number?

The NPI number assigned to this healthcare provider is 1053769265, enumerated as an "organization" on May 27, 2016.

Where is the provider located?

The provider is located at 790 GLENWOOD AVE SE SUITE 210 ATLANTA, GA 30316 and the phone number is (404) 260-4767.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

What insurance does GLENWOOD PARK DENTISTRY, PC accept?

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.