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CREEKSIDE DENTAL, INC.
NPI 1295561983
Clinic/Center - Dental in Douglasville, GA

Active since September 10, 2024
4904 TIMBER RIDGE DR STE 203, DOUGLASVILLE, GA 30135(770) 577-5727(770) 577-7542 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Creekside Dental, Inc. NPPES

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

CREEKSIDE DENTAL, INC. (NPI 1295561983) is a healthcare organization registered as a dental in Douglasville, Georgia and active in the NPI registry since September 2024. The organization lists Pamela Deas, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1295561983
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCREEKSIDE DENTAL, INC.
Location Address4904 TIMBER RIDGE DR STE 203Douglasville, GA 30135-1831
Mailing Address4904 Timber Ridge Dr Ste 203Douglasville, GA 30135-1831 · (770) 577-5727 · Fax (770) 577-7542
Phone(770) 577-5727
Fax(770) 577-7542
Organization SubpartNo
Authorized OfficialPamela DeasOffice Manager · (770) 577-5727
Enumeration DateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
✔ NPI 1295561983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4904 TIMBER RIDGE DR STE 203, Douglasville, GA 30135
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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 Creekside Dental, Inc.'s NPI number?

The NPI number for Creekside Dental, Inc. is 1295561983. It was assigned to this organization in the NPPES registry on September 10, 2024.

Where is Creekside Dental, Inc. located?

Creekside Dental, Inc. is located at 4904 Timber Ridge Dr Ste 203, Douglasville, GA 30135. The listed phone number is (770) 577-5727.

What is Creekside Dental, Inc.'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 Creekside Dental, Inc. was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.