DR. EMILY CAROLINE MEDENDORP DMD
NPI 1609751346
Dentist - General Practice in Stockbridge, GA

Active since August 11, 2025
330 CORPORATE CENTER CT, STOCKBRIDGE, GA 30281(770) 901-2492 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Emily Caroline Medendorp Dmd NPPES

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

DR. EMILY CAROLINE MEDENDORP DMD (NPI 1609751346) is an individual general practice provider in Stockbridge, Georgia, licensed in Georgia (DN123920) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1609751346
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EMILY CAROLINE MEDENDORPCredential: DMD
Location Address330 CORPORATE CENTER CTStockbridge, GA 30281-6360
Mailing Address2344 Havenridge Dr NwAtlanta, GA 30305-4073 · (404) 606-6014
Sole ProprietorNo
Enumeration DateAugust 11, 2025
NPPES CertifiedAugust 11, 2025
NPI 1609751346 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 · DN123920
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.
330 CORPORATE CENTER CT, Stockbridge, GA 30281

Accepted 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.

Dentist (General Practice)
330 CORPORATE CENTER CT, STE A
STOCKBRIDGE, GA 30281
Dentist (General Practice)
330 CORPORATE CENTER CT, SUITE A
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 Emily Medendorp's NPI number?

The NPI number for Emily Medendorp is 1609751346. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Emily Medendorp located?

Emily Medendorp practices at 330 Corporate Center Ct, Stockbridge, GA 30281. The listed phone number is (770) 901-2492.

What is Emily Medendorp's specialty?

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

What insurance does Emily Medendorp accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Emily Medendorp 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 Emily Medendorp was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.