ORIGIN DENTAL LLC
NPI 1275489957
Dentist - General Practice in Peachtree Corners, GA

Q: What is Origin Dental LLC's NPI number?

The NPI number for Origin Dental LLC is 1275489957. It was assigned to this organization in the NPPES registry on March 6, 2026.

Q: What is Origin Dental LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Origin Dental LLC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 06, 2026

5635 PEACHTREE PKWY STE 200, PEACHTREE CORNERS, GA 30092(678) 990-1001 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Origin Dental Llc NPPES

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

ORIGIN DENTAL LLC (NPI 1275489957) is a healthcare organization registered as a general practice in Peachtree Corners, Georgia and active in the NPI registry since March 2026. The organization lists Sean Lan, Owner/principal Dentist, as its authorized official.

NPPES Registry Identity

NPI1275489957

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameORIGIN DENTAL LLC

Location Address5635 PEACHTREE PKWY STE 200Peachtree Corners, GA 30092-2823

Mailing Address5635 Peachtree Pkwy Ste 200Peachtree Corners, GA 30092-2823 · (678) 990-1001

Phone(678) 990-1001

Organization SubpartNo

Authorized OfficialSean LanOwner/principal Dentist · (772) 678-1863

Enumeration DateMarch 6, 2026

NPPES CertifiedMarch 5, 2026

✔ NPI 1275489957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

5635 PEACHTREE PKWY STE 200, Peachtree Corners, GA 30092

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Origin Dental LLC's NPI number?

The NPI number for Origin Dental LLC is 1275489957. It was assigned to this organization in the NPPES registry on March 6, 2026.

Where is Origin Dental LLC located?

Origin Dental LLC is located at 5635 Peachtree Pkwy Ste 200, Peachtree Corners, GA 30092. The listed phone number is (678) 990-1001.

What is Origin Dental LLC'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 Origin Dental LLC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.