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

PRINCETON DENTAL GROUP-LOGANVILLE
NPI 1275810129
Dentist - General Practice in Loganville, GA

Active since November 07, 2011
4353 ATLANTA HWY, LOGANVILLE, GA 30052(770) 554-0848(770) 554-4569 Get Directions Write a Review

NPPES record last updated: September 28, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Princeton Dental Group-loganville NPPES

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

PRINCETON DENTAL GROUP-LOGANVILLE (NPI 1275810129) is a healthcare organization registered as a general practice in Loganville, Georgia and active in the NPI registry since November 2011. The organization lists Kevin Blair, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1275810129
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRINCETON DENTAL GROUP-LOGANVILLE
Location Address4353 ATLANTA HWYLoganville, GA 30052-3214
Mailing Address1515 Water Shine WaySnellville, GA 30078 · (404) 324-2012 · Fax (678) 344-4642
Phone(770) 554-0848
Fax(770) 554-4569
Organization SubpartNo
Authorized OfficialKevin BlairOwner/operator · (404) 324-2012
Enumeration DateNovember 7, 2011
Last NPPES UpdateSeptember 28, 2014
✔ NPI 1275810129 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 · DN011481
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.

4353 ATLANTA HWY, Loganville, GA 30052
Open in Google Maps ↗

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

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. LOLA COLBERT DDS
Dentist
4353 ATLANTA HWY
LOGANVILLE, GA 30052
Gwinnett County (770) 450-2030

Frequently Asked Questions

What is PRINCETON DENTAL GROUP-LOGANVILLE's NPI number?

The NPI number assigned to this healthcare provider is 1275810129, enumerated as an "organization" on November 07, 2011.

Where is the provider located?

The provider is located at 4353 ATLANTA HWY LOGANVILLE, GA 30052 and the phone number is (770) 554-0848.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.