1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Clinic Center
  6. NPI Profile

THE BUCKLEY DENTAL CENTER PC
NPI 1558033050
Clinic/Center - Dental in Atlanta, GA

Active since October 02, 2021
2325 GLENWOOD AVE SE, ATLANTA, GA 30316(678) 800-8316(678) 800-8317 Get Directions Write a Review

NPPES record last updated: October 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Buckley Dental Center Pc NPPES

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

THE BUCKLEY DENTAL CENTER PC (NPI 1558033050), doing business as East Lake Family Dental, is a healthcare organization registered as a dental in Atlanta, Georgia and active in the NPI registry since October 2021. The organization lists Elisha Elisha Buckley, Owner, as its authorized official.

NPPES Registry Identity

NPI1558033050
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTHE BUCKLEY DENTAL CENTER PC
Location Address2325 GLENWOOD AVE SEAtlanta, GA 30316-2362
Mailing Address4807 Wigley Rd NeMarietta, GA 30066-1503 · (678) 524-7364
Phone(678) 800-8316
Fax(678) 800-8317
Organization SubpartNo
Authorized OfficialElisha Elisha BuckleyOwner · (678) 524-7364
Enumeration DateOctober 2, 2021
NPPES CertifiedOctober 2, 2021
✔ NPI 1558033050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2325 GLENWOOD AVE SE, Atlanta, GA 30316
Open in Google Maps ↗

Other Names 1

Doing Business AsEast Lake Family Dental

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 The Buckley Dental Center PC's NPI number?

The NPI number for The Buckley Dental Center PC is 1558033050. It was assigned to this organization in the NPPES registry on October 2, 2021. The provider is doing business as East Lake Family Dental.

Where is The Buckley Dental Center PC located?

The Buckley Dental Center PC is located at 2325 Glenwood Ave SE, Atlanta, GA 30316. The listed phone number is (678) 800-8316.

What is The Buckley Dental Center PC'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 The Buckley Dental Center PC was last updated on October 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.