SAMUEL T. GULLEY DDS
NPI 1346201423
Dentist - General Practice in Atlanta, GA

Active since March 29, 2006
868 YORK AVE SW, ATLANTA, GA 30310(404) 752-1400(404) 756-8749 Get Directions Write a Review

NPPES record last updated: October 22, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel T. Gulley Dds NPPES

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

SAMUEL T. GULLEY DDS (NPI 1346201423) is an individual general practice provider in Atlanta, Georgia, licensed in Georgia (DN007174) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1346201423
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSAMUEL T. GULLEYCredential: DDS
Location Address868 YORK AVE SWAtlanta, GA 30310-2750
Mailing Address868 York Ave SwAtlanta, GA 30310-2750 · (404) 752-1400 · Fax (404) 756-8749
Fax(404) 756-8749
Sole ProprietorNo
Enumeration DateMarch 29, 2006
Last NPPES UpdateOctober 22, 2009
NPI 1346201423 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 · DN007174
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.

868 YORK AVE SW, Atlanta, GA 30310

Other Identifiers 1

Medicaid472755115AGA

Other Providers at the Same Location NPPES 20

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

Family Medicine
868 YORK AVE SW
ATLANTA, GA 30310
Nurse Practitioner (Pediatrics)
868 YORK AVE SW
ATLANTA, GA 30310
Internal Medicine
868 YORK AVE SW
ATLANTA, GA 30310
Dentist (General Practice)
868 YORK AVE SW
ATLANTA, GA 30310
Social Worker
868 YORK AVE SW
ATLANTA, GA 30310
Internal Medicine
868 YORK AVE SW
ATLANTA, GA 30310
Psychiatry & Neurology (Psychiatry)
868 YORK AVE SW
ATLANTA, GA 30310
Clinic/Center (Federally Qualified Health Center (FQHC))
868 YORK AVE SW
ATLANTA, GA 30310

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 Samuel Gulley's NPI number?

The NPI number for Samuel Gulley is 1346201423. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Samuel Gulley located?

Samuel Gulley practices at 868 York Ave SW, Atlanta, GA 30310. The listed phone number is (404) 752-1400.

What is Samuel Gulley'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 Samuel Gulley was last updated on October 22, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.