BROOKHAVEN DENTAL GROUP LLC
NPI 1295602282
Dentist - General Practice in Brookhaven, GA

Q: What is Brookhaven Dental Group LLC's NPI number?

The NPI number for Brookhaven Dental Group LLC is 1295602282. It was assigned to this organization in the NPPES registry on October 22, 2025.

Q: What is Brookhaven Dental Group LLC's specialty?

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

Active since October 22, 2025

4060 PEACHTREE RD NE STE H, BROOKHAVEN, GA 30319(404) 549-2650 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brookhaven Dental Group Llc NPPES

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

BROOKHAVEN DENTAL GROUP LLC (NPI 1295602282) is a healthcare organization registered as a general practice in Brookhaven, Georgia and active in the NPI registry since October 2025. The organization lists Thomas Simcox, Director, Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1295602282

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBROOKHAVEN DENTAL GROUP LLC

Location Address4060 PEACHTREE RD NE STE HBrookhaven, GA 30319-3020

Mailing Address4060 Peachtree Rd Ne Ste HBrookhaven, GA 30319-3020 · (404) 549-2650

Phone(404) 549-2650

Organization SubpartNo

Authorized OfficialThomas SimcoxDirector, Revenue Cycle Management · (201) 400-1481

Enumeration DateOctober 22, 2025

NPPES CertifiedOctober 22, 2025

✔ NPI 1295602282 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.

4060 PEACHTREE RD NE STE H, Brookhaven, GA 30319

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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

Other Providers at the Same Location NPPES

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

CHARLENE BROWN

Dentist (General Practice)

4060 PEACHTREE RD NE STE H
BROOKHAVEN, GA 30319

Dekalb County (404) 549-2650

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 Brookhaven Dental Group LLC's NPI number?

The NPI number for Brookhaven Dental Group LLC is 1295602282. It was assigned to this organization in the NPPES registry on October 22, 2025.

Where is Brookhaven Dental Group LLC located?

Brookhaven Dental Group LLC is located at 4060 Peachtree Rd NE Ste H, Brookhaven, GA 30319. The listed phone number is (404) 549-2650.

What is Brookhaven Dental Group 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 Brookhaven Dental Group LLC was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.