DIXIE STREET DENTAL LLC
NPI 1659173334
Clinic/Center - Dental in Carrollton, GA

Active since March 25, 2025
409 DIXIE ST, CARROLLTON, GA 30117(770) 834-9682 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dixie Street Dental Llc NPPES

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

DIXIE STREET DENTAL LLC (NPI 1659173334), doing business as Dental Center Of Carrollton, is a healthcare organization registered as a dental in Carrollton, Georgia and active in the NPI registry since March 2025. The organization lists Troy Hunter Chastain, Dentist, as its authorized official.

NPPES Registry Identity

NPI1659173334
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDIXIE STREET DENTAL LLC
Location Address409 DIXIE STCarrollton, GA 30117-3921
Mailing Address409 Dixie StCarrollton, GA 30117-3921 · (770) 834-9682
Organization SubpartNo
Authorized OfficialTroy Hunter ChastainDentist · (404) 909-5314
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
NPI 1659173334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
409 DIXIE ST, Carrollton, GA 30117

Other Names 1

Doing Business AsDental Center Of Carrollton

Other Providers at the Same Location NPPES 3

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

Dentist
409 DIXIE ST
CARROLLTON, GA 30117
Dentist
409 DIXIE ST
CARROLLTON, GA 30117
Prosthetic/Orthotic Supplier
409 DIXIE ST
CARROLLTON, GA 30117

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 Dixie Street Dental LLC's NPI number?

The NPI number for Dixie Street Dental LLC is 1659173334. It was assigned to this organization in the NPPES registry on March 25, 2025. The provider is doing business as Dental Center of Carrollton.

Where is Dixie Street Dental LLC located?

Dixie Street Dental LLC is located at 409 Dixie St, Carrollton, GA 30117. The listed phone number is (770) 834-9682.

What is Dixie Street Dental LLC'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 Dixie Street Dental LLC was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.