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EAST LAKE DENTAL HOME
NPI 1376053710
Clinic/Center - Dental in Marietta, GA

Active since October 11, 2017
2100 ROSWELL RD STE 1108, MARIETTA, GA 30062(678) 401-5089(864) 670-5285 Get Directions Write a Review

NPPES record last updated: December 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2017, Oct 11, 2017 (2 updates tracked since 2017).

About East Lake Dental Home NPPES

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

EAST LAKE DENTAL HOME (NPI 1376053710) is a healthcare organization registered as a dental in Marietta, Georgia and active in the NPI registry since October 2017. The organization lists Monique Tucker, Director Of Insurance, as its authorized official.

NPPES Registry Identity

NPI1376053710
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLITTLE P.C.
Location Address2100 ROSWELL RD STE 1108Marietta, GA 30062-0883
Mailing Address4921 Centre Pointe Dr Ste 201North Charleston, SC 29418-6997 · (843) 990-9998 · Fax (864) 670-5285
Phone(678) 401-5089
Fax(864) 670-5285
Organization SubpartNo
Authorized OfficialMonique TuckerDirector Of Insurance · (843) 990-9998
Enumeration DateOctober 11, 2017
Last NPPES UpdateDecember 8, 20172 updates tracked since enumeration
✔ NPI 1376053710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2100 ROSWELL RD STE 1108, Marietta, GA 30062
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Other Names 1

Doing Business AsEast Lake Dental Home

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 Little P.C.'s NPI number?

The NPI number for Little P.C. is 1376053710. It was assigned to this organization in the NPPES registry on October 11, 2017. The provider is doing business as East Lake Dental Home.

Where is Little P.C. located?

Little P.C. is located at 2100 Roswell Rd Ste 1108, Marietta, GA 30062. The listed phone number is (678) 401-5089.

What is Little P.C.'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 Little P.C. was last updated on December 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.