SUPREME DENTAL GROUP LLC
NPI 1093414146
Dentist in Suwanee, GA

Active since February 27, 2023
3855 JOHNS CREEK PKWY STE A, SUWANEE, GA 30024(770) 744-3855 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2023, Apr 13, 2023, Feb 27, 2023 (3 updates tracked since 2023).

About Supreme Dental Group Llc NPPES

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

SUPREME DENTAL GROUP LLC (NPI 1093414146) is a healthcare organization registered as a dentist in Suwanee, Georgia and active in the NPI registry since February 2023. The organization lists Xiaodan Zhang, Dentist, as its authorized official.

NPPES Registry Identity

NPI1093414146
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSUPREME DENTAL GROUP LLC
Location Address3855 JOHNS CREEK PKWY STE ASuwanee, GA 30024-1293
Mailing Address3855 Johns Creek Pkwy Ste ASuwanee, GA 30024-1293 · (770) 744-3855
Organization SubpartNo
Authorized OfficialXiaodan ZhangDentist · (770) 744-3855
Enumeration DateFebruary 27, 2023
Last NPPES UpdateOctober 31, 20233 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
NPI 1093414146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3855 JOHNS CREEK PKWY STE A, Suwanee, GA 30024

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

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
3855 JOHNS CREEK PKWY STE A
SUWANEE, GA 30024

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 Supreme Dental Group LLC's NPI number?

The NPI number for Supreme Dental Group LLC is 1093414146. It was assigned to this organization in the NPPES registry on February 27, 2023.

Where is Supreme Dental Group LLC located?

Supreme Dental Group LLC is located at 3855 Johns Creek Pkwy Ste A, Suwanee, GA 30024. The listed phone number is (770) 744-3855.

What is Supreme Dental Group LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Supreme Dental Group LLC accept?

Health plans from UnitedHealthcare list Supreme Dental Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Supreme Dental Group LLC was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.