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DENTISTRY OF BROOKHAVEN CORPORATION
NPI 1073408340
Dentist - Pediatric Dentistry in Brookhaven, GA

Active since June 09, 2025
2221 JOHNSON FERRY RD NE STE 2A, BROOKHAVEN, GA 30319(770) 651-1000(678) 212-1973 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dentistry Of Brookhaven Corporation NPPES

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

DENTISTRY OF BROOKHAVEN CORPORATION (NPI 1073408340) is a healthcare organization registered as a pediatric dentistry in Brookhaven, Georgia and active in the NPI registry since June 2025. The organization lists Lee Casement, Billing Collections, as its authorized official.

NPPES Registry Identity

NPI1073408340
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameDENTISTRY OF BROOKHAVEN CORPORATION
Location Address2221 JOHNSON FERRY RD NE STE 2ABrookhaven, GA 30319-2203
Mailing Address10930 Crabapple Rd Ste 106Roswell, GA 30075-5825 · (770) 651-1000 · Fax (678) 212-1973
Phone(770) 651-1000
Fax(678) 212-1973
Organization SubpartNo
Authorized OfficialLee CasementBilling Collections · (770) 651-1000
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
✔ NPI 1073408340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2221 JOHNSON FERRY RD NE STE 2A, Brookhaven, GA 30319
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dentistry Of Brookhaven Corporation's NPI number?

The NPI number for Dentistry Of Brookhaven Corporation is 1073408340. It was assigned to this organization in the NPPES registry on June 9, 2025.

Where is Dentistry Of Brookhaven Corporation located?

Dentistry Of Brookhaven Corporation is located at 2221 Johnson Ferry Rd NE Ste 2A, Brookhaven, GA 30319. The listed phone number is (770) 651-1000.

What is Dentistry Of Brookhaven Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Dentistry Of Brookhaven Corporation was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.