PARKSIDE DENTAL PRACTICE
NPI 1275634487
Public Health or Welfare in Peachtree City, GA

Active since September 26, 2006
410 STEVENS ENTRY, PEACHTREE CITY, GA 30269(770) 487-8882(770) 486-9469 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Parkside Dental Practice NPPES

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

PARKSIDE DENTAL PRACTICE (NPI 1275634487) is a healthcare organization registered as a public health or welfare in Peachtree City, Georgia and active in the NPI registry since September 2006. The organization lists Stephen L Matlaga Dds Gen Ptr, Owner, as its authorized official.

NPPES Registry Identity

NPI1275634487
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NamePARKSIDE DENTAL PRACTICE
Location Address410 STEVENS ENTRYPeachtree City, GA 30269
Mailing Address410 Stevens Entry, Po Box 2606Peachtree City, GA 30269 · (770) 487-8882 · Fax (770) 486-9469
Fax(770) 486-9469
Organization SubpartNo
Authorized OfficialStephen L Matlaga Dds Gen PtrOwner · (770) 487-8882
Enumeration DateSeptember 26, 2006
Last NPPES UpdateApril 20, 2008
NPI 1275634487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
License Licensed in GA · GA8697
410 STEVENS ENTRY, Peachtree City, GA 30269

Other Providers at the Same Location NPPES 4

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

Dentist
410 STEVENS ENTRY
PEACHTREE CITY, GA 30269
Health Maintenance Organization
410 STEVENS ENTRY
PEACHTREE CITY, GA 30269
Dentist (General Practice)
410 STEVENS ENTRY
PEACHTREE CITY, GA 30269
Dentist (General Practice)
410 STEVENS ENTRY
PEACHTREE CITY, GA 30269

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 Parkside Dental Practice's NPI number?

The NPI number for Parkside Dental Practice is 1275634487. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Parkside Dental Practice located?

Parkside Dental Practice is located at 410 Stevens Entry, Peachtree City, GA 30269. The listed phone number is (770) 487-8882.

What is Parkside Dental Practice's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

When was this NPI record last updated?

The NPPES record for Parkside Dental Practice was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.