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CREEKSIDE DENTISTRY, LLC
NPI 1558768770
Dentist - General Practice in Loganville, GA

Active since December 03, 2014
3238 KRISAM CREEK DR, LOGANVILLE, GA 30052(770) 466-0474(770) 466-3894 Get Directions Write a Review

NPPES record last updated: December 3, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Creekside Dentistry, Llc NPPES

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

CREEKSIDE DENTISTRY, LLC (NPI 1558768770) is a healthcare organization registered as a general practice in Loganville, Georgia and active in the NPI registry since December 2014. The organization lists Cyndi Simmons, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1558768770
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCREEKSIDE DENTISTRY, LLC
Location Address3238 KRISAM CREEK DRLoganville, GA 30052-7942
Mailing Address3238 Krisam Creek DrLoganville, GA 30052-7942 · (770) 466-0474 · Fax (770) 466-3894
Phone(770) 466-0474
Fax(770) 466-3894
Organization SubpartNo
Authorized OfficialCyndi SimmonsPractice Manager · (770) 466-0474
Enumeration DateDecember 3, 2014
✔ NPI 1558768770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · GA8776
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.
3238 KRISAM CREEK DR, Loganville, GA 30052
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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 2

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

DR. STEWART HELTON D.M.D
Dentist (General Practice)
3238 KRISAM CREEK DR
LOGANVILLE, GA 30052
Gwinnett County (770) 466-0474
DR. BEAU UPSHAW D.M.D.
Dentist (General Practice)
3238 KRISAM CREEK DR
LOGANVILLE, GA 30052
Gwinnett County (770) 466-0474

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 Creekside Dentistry, LLC's NPI number?

The NPI number for Creekside Dentistry, LLC is 1558768770. It was assigned to this organization in the NPPES registry on December 3, 2014.

Where is Creekside Dentistry, LLC located?

Creekside Dentistry, LLC is located at 3238 Krisam Creek Dr, Loganville, GA 30052. The listed phone number is (770) 466-0474.

What is Creekside Dentistry, LLC'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 Creekside Dentistry, LLC was last updated on December 3, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.