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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SHEA SERA
NPI 1104762905
Dentist - General Practice in Decatur, GA

Active since April 25, 2026
2570 BLACKMON DR STE 310, DECATUR, GA 30033(678) 203-3462 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2026, Apr 25, 2026 (2 updates tracked since 2026).

About Shea Sera NPPES

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

SHEA SERA (NPI 1104762905) is an individual general practice provider in Decatur, Georgia, licensed in Georgia (DN124232) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1104762905
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSHEA SERA
Location Address2570 BLACKMON DR STE 310Decatur, GA 30033-6197
Mailing AddressPo Box 5006Kahului, HI 96733-5006 · (808) 281-5943
Phone(678) 203-3462
Sole ProprietorNo
Enumeration DateApril 25, 2026
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1104762905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN124232
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.
2570 BLACKMON DR STE 310, Decatur, GA 30033
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Other Providers at the Same Location NPPES 3

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

MR. REVENEL REVERT METAYER
Dentist
2570 BLACKMON DR STE 310
DECATUR, GA 30033
Dekalb County (678) 203-3462
DR. ANISA MARYAM ALAM DMD
Dentist (General Practice)
2570 BLACKMON DR STE 310
DECATUR, GA 30033
Dekalb County (678) 203-3462
YE EUN CHOI
Dentist (General Practice)
2570 BLACKMON DR STE 310
DECATUR, GA 30033
Dekalb County (678) 203-3462

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 Shea Sera's NPI number?

The NPI number for Shea Sera is 1104762905. It was assigned to this individual provider in the NPPES registry on April 25, 2026.

Where is Shea Sera located?

Shea Sera practices at 2570 Blackmon Dr Ste 310, Decatur, GA 30033. The listed phone number is (678) 203-3462.

What is Shea Sera's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shea Sera was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.