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

MOUTHPEACE DENTAL 2, PC
NPI 1124552203
Dentist in Atlanta, GA

Active since April 17, 2017
1833 DELOWE DR SW, BUILDING A, ATLANTA, GA 30311(404) 793-2570(404) 793-2577 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mouthpeace Dental 2, Pc NPPES

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

MOUTHPEACE DENTAL 2, PC (NPI 1124552203) is a healthcare organization registered as a dentist in Atlanta, Georgia and active in the NPI registry since April 2017. The organization lists Syretta Wells, Owner, as its authorized official.

NPPES Registry Identity

NPI1124552203
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMOUTHPEACE DENTAL 2, PC
Location Address1833 DELOWE DR SW, BUILDING AAtlanta, GA 30311-4701
Mailing Address1833 Delowe Dr Sw, Building AAtlanta, GA 30311-4701 · (404) 793-2570 · Fax (404) 793-2577
Phone(404) 793-2570
Fax(404) 793-2577
Organization SubpartNo
Authorized OfficialSyretta WellsOwner · (404) 793-2570
Enumeration DateApril 17, 2017
✔ NPI 1124552203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · DN013505
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.
1833 DELOWE DR SW, Atlanta, GA 30311
Open in Google Maps ↗

Other Identifiers 1

Medicaid003180368AGA

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

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 ›

Other Providers at the Same Location NPPES

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

DR. KEVIN TYRONE WILLIAMS
Dentist (General Practice)
1833 DELOWE DR SW
ATLANTA, GA 30311
Fulton County (404) 753-6116

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 Mouthpeace Dental 2, PC's NPI number?

The NPI number for Mouthpeace Dental 2, PC is 1124552203. It was assigned to this organization in the NPPES registry on April 17, 2017.

Where is Mouthpeace Dental 2, PC located?

Mouthpeace Dental 2, PC is located at 1833 Delowe Dr SW Building A, Atlanta, GA 30311. The listed phone number is (404) 793-2570.

What is Mouthpeace Dental 2, PC's specialty?

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

What insurance does Mouthpeace Dental 2, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mouthpeace Dental 2, PC 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 Mouthpeace Dental 2, PC was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.