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PROFESSIONAL DENTAL ALLIANCE OF STOCKBRIDGE, LLC
NPI 1528625779
Dentist - General Practice in Stockbridge, GA

Active since May 23, 2019
3579 HIGHWAY 138 SE STE 202, STOCKBRIDGE, GA 30281(770) 474-6111 Get Directions Write a Review

NPPES record last updated: May 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Dental Alliance Of Stockbridge, Llc NPPES

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

PROFESSIONAL DENTAL ALLIANCE OF STOCKBRIDGE, LLC (NPI 1528625779) is a healthcare organization registered as a general practice in Stockbridge, Georgia and active in the NPI registry since May 2019. The organization lists Jessica Barrette, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1528625779
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF STOCKBRIDGE, LLC
Location Address3579 HIGHWAY 138 SE STE 202Stockbridge, GA 30281-6807
Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680
Phone(770) 474-6111
Organization SubpartNo
Authorized OfficialJessica BarretteCredentialing Specialist · (724) 698-2997
Enumeration DateMay 23, 2019
✔ NPI 1528625779 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.
3579 HIGHWAY 138 SE STE 202, Stockbridge, GA 30281
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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.

STOCKBRIDGE FAMILY DENTAL GROUP PC
Dentist (General Practice)
3579 HIGHWAY 138 SE STE 202
STOCKBRIDGE, GA 30281
Henry County (770) 474-6111
STOCKBRIDGE FAMILY DENTAL GROUP PC
Dentist
3579 HIGHWAY 138 SE STE 202
STOCKBRIDGE, GA 30281
Henry County (770) 474-6111

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 Professional Dental Alliance Of Stockbridge, LLC's NPI number?

The NPI number for Professional Dental Alliance Of Stockbridge, LLC is 1528625779. It was assigned to this organization in the NPPES registry on May 23, 2019.

Where is Professional Dental Alliance Of Stockbridge, LLC located?

Professional Dental Alliance Of Stockbridge, LLC is located at 3579 Highway 138 SE Ste 202, Stockbridge, GA 30281. The listed phone number is (770) 474-6111.

What is Professional Dental Alliance Of Stockbridge, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Professional Dental Alliance Of Stockbridge, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Professional Dental Alliance Of Stockbridge, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Professional Dental Alliance Of Stockbridge, LLC was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.