EASTSIDE DENTAL GROUP
NPI 1326855396
Clinic/Center - Dental in Norcross, GA

Active since December 13, 2024
2055 BEAVER RUIN RD STE E, NORCROSS, GA 30071(770) 559-6202 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastside Dental Group NPPES

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

EASTSIDE DENTAL GROUP (NPI 1326855396) is a healthcare organization registered as a dental in Norcross, Georgia and active in the NPI registry since December 2024. The organization lists Dejuanquaries Stephens, Owner, as its authorized official.

NPPES Registry Identity

NPI1326855396
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEASTSIDE DENTAL GROUP
Location Address2055 BEAVER RUIN RD STE ENorcross, GA 30071-3786
Mailing Address2055 Beaver Ruin Rd Ste ENorcross, GA 30071-3786 · (770) 559-6202
Organization SubpartNo
Authorized OfficialDejuanquaries StephensOwner · (770) 559-6202
Enumeration DateDecember 13, 2024
NPPES CertifiedDecember 13, 2024
NPI 1326855396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2055 BEAVER RUIN RD STE E, Norcross, GA 30071

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
2055 BEAVER RUIN RD STE E
NORCROSS, GA 30071
Dentist
2055 BEAVER RUIN RD STE E
NORCROSS, GA 30071

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 Eastside Dental Group's NPI number?

The NPI number for Eastside Dental Group is 1326855396. It was assigned to this organization in the NPPES registry on December 13, 2024.

Where is Eastside Dental Group located?

Eastside Dental Group is located at 2055 Beaver Ruin Rd Ste E, Norcross, GA 30071. The listed phone number is (770) 559-6202.

What is Eastside Dental Group'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 Eastside Dental Group was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.