STOCKBRIDGE DENTAL LLC
NPI 1407195142
Dentist - Prosthodontics in Stockbridge, GA

Active since January 31, 2013
150 COUNTRY CLUB DR, SUITE 201, STOCKBRIDGE, GA 30281(770) 389-1980(770) 389-5128 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stockbridge Dental Llc NPPES

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

STOCKBRIDGE DENTAL LLC (NPI 1407195142) is a healthcare organization registered as a prosthodontics in Stockbridge, Georgia and active in the NPI registry since January 2013. The organization lists Rima B Patel, Dentist, as its authorized official.

NPPES Registry Identity

NPI1407195142
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameSTOCKBRIDGE DENTAL LLC
Location Address150 COUNTRY CLUB DR, SUITE 201Stockbridge, GA 30281-9089
Mailing Address150 Country Club Dr, Suite 201Stockbridge, GA 30281-9089 · (770) 389-1980 · Fax (770) 389-5128
Fax(770) 389-5128
Organization SubpartNo
Authorized OfficialRima B PatelDentist · (770) 389-1980
Enumeration DateJanuary 31, 2013
NPI 1407195142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in GA · 010866
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
150 COUNTRY CLUB DR, Stockbridge, GA 30281

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 5

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

Radiology (Vascular & Interventional Radiology)
150 COUNTRY CLUB DR, SUITE 101
STOCKBRIDGE, GA 30281
Surgery
150 COUNTRY CLUB DR, SUITE 101
STOCKBRIDGE, GA 30281
Dentist (Prosthodontics)
150 COUNTRY CLUB DR, SUITE 201
STOCKBRIDGE, GA 30281
Internal Medicine (Sleep Medicine)
150 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Surgery (Vascular Surgery)
150 COUNTRY CLUB DR, SUITE 100
STOCKBRIDGE, GA 30281

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 Stockbridge Dental LLC's NPI number?

The NPI number for Stockbridge Dental LLC is 1407195142. It was assigned to this organization in the NPPES registry on January 31, 2013.

Where is Stockbridge Dental LLC located?

Stockbridge Dental LLC is located at 150 Country Club Dr Suite 201, Stockbridge, GA 30281. The listed phone number is (770) 389-1980.

What is Stockbridge Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Stockbridge Dental LLC was last updated on January 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.