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SOUTHERN PEACH DENTAL PC
NPI 1508727157
Dentist - General Practice in Atlanta, GA

Active since November 22, 2025
171 CLEVELAND AVE SW, ATLANTA, GA 30315(678) 794-6966 Get Directions Write a Review

NPPES record last updated: November 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Peach Dental Pc NPPES

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

SOUTHERN PEACH DENTAL PC (NPI 1508727157) is a healthcare organization registered as a general practice in Atlanta, Georgia and active in the NPI registry since November 2025. The organization lists David Mckellar, Cfo, as its authorized official.

NPPES Registry Identity

NPI1508727157
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHERN PEACH DENTAL PC
Location Address171 CLEVELAND AVE SWAtlanta, GA 30315-8258
Mailing Address171 Cleveland Ave SwAtlanta, GA 30315-8258 · (678) 794-6966
Phone(678) 794-6966
Organization SubpartNo
Authorized OfficialDavid MckellarCfo · (678) 794-6966
Enumeration DateNovember 22, 2025
NPPES CertifiedNovember 22, 2025
✔ NPI 1508727157 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.
171 CLEVELAND AVE SW, Atlanta, GA 30315
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

DAVID J MCKELLAR
Dental Hygienist
171 CLEVELAND AVE SW
ATLANTA, GA 30315
Fulton County (678) 794-6966

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 Southern Peach Dental PC's NPI number?

The NPI number for Southern Peach Dental PC is 1508727157. It was assigned to this organization in the NPPES registry on November 22, 2025.

Where is Southern Peach Dental PC located?

Southern Peach Dental PC is located at 171 Cleveland Ave SW, Atlanta, GA 30315. The listed phone number is (678) 794-6966.

What is Southern Peach Dental PC'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 Southern Peach Dental PC was last updated on November 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.