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PEACH BLOSSOM DENTAL, LLC
NPI 1174051908
Clinic/Center - Dental in Tucker, GA

Active since May 24, 2017
2256 NORTHLAKE PKWY STE 150, TUCKER, GA 30084(770) 934-5144(678) 273-3634 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 24, 2017 (2 updates tracked since 2017).

About Peach Blossom Dental, Llc NPPES

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

PEACH BLOSSOM DENTAL, LLC (NPI 1174051908) is a healthcare organization registered as a dental in Tucker, Georgia and active in the NPI registry since May 2017. The organization lists Angela Dawn Wright, Owner, as its authorized official.

NPPES Registry Identity

NPI1174051908
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePEACH BLOSSOM DENTAL, LLC
Location Address2256 NORTHLAKE PKWY STE 150Tucker, GA 30084-4004
Mailing Address2256 Northlake Pkwy Ste 150Tucker, GA 30084-4004 · (770) 934-5144 · Fax (678) 273-3634
Phone(770) 934-5144
Fax(678) 273-3634
Organization SubpartNo
Authorized OfficialAngela Dawn WrightOwner · (770) 934-5144
Enumeration DateMay 24, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1174051908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2256 NORTHLAKE PKWY STE 150, Tucker, GA 30084
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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 Peach Blossom Dental, LLC's NPI number?

The NPI number for Peach Blossom Dental, LLC is 1174051908. It was assigned to this organization in the NPPES registry on May 24, 2017.

Where is Peach Blossom Dental, LLC located?

Peach Blossom Dental, LLC is located at 2256 Northlake Pkwy Ste 150, Tucker, GA 30084. The listed phone number is (770) 934-5144.

What is Peach Blossom Dental, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Peach Blossom Dental, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.