SOUTHEAST ORAL DIAGNOSTICS LLC
NPI 1063378966
Dentist - Oral and Maxillofacial Pathology in Alpharetta, GA
NPI Status: Active since January 05, 2026
Contact Information
282 RUCKER RD STE 110
ALPHARETTA, GA
ZIP 30004
Phone: (770) 992-4844
- Organization
- Dentist
- Oral and Maxillofacial Pathology
About SOUTHEAST ORAL DIAGNOSTICS LLC
This page provides the complete NPI Profile along with additional information for Southeast Oral Diagnostics Llc, a provider established in Alpharetta, Georgia operating as a Dentist, focusing in oral and maxillofacial pathology . The healthcare provider is registered in the NPI registry with number 1063378966 assigned on January 2026. The practitioner's primary taxonomy code is 1223P0106X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Stephanie Wetzel (Owner/ Dentist)
- NPI
- 1063378966
- Provider Name
- SOUTHEAST ORAL DIAGNOSTICS LLC
- Entity Type
- Organization
- Location Address
- 282 RUCKER RD STE 110 ALPHARETTA, GA 30004
- Location Phone
- (770) 992-4844
- Mailing Address
- 346 PRESTON AVE LEXINGTON, KY 40502
- Mailing Phone
- (770) 992-4844
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-05-2026
- Last Update Date
- 01-05-2026
- Code Navigator
A dentist like Southeast Oral Diagnostics Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Secondary Locations
- 550 Pharr Rd NE Ste 325
Atlanta, GA 30305
(404) 233-8221 - 755 Commerce Dr Ste A
Decatur, GA 30030
(404) 378-2331 - 5555 Peachtree Dunwoody Rd Ste G56
Atlanta, GA 30342
(404) 252-5626
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Pathology
- Taxonomy Code
- 1223P0106X
- Type
- Dental Providers
- Taxonomy Description
- The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063378966, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063378966, enumerated as an "organization" on January 05, 2026.
The provider is located at 282 RUCKER RD STE 110 ALPHARETTA, GA 30004 and the phone number is (770) 992-4844.
Dentist with taxonomy code 1223P0106X and a focus in Oral and Maxillofacial Pathology.
