SOUTH INDY DENTAL, P.C.
NPI 1679922470
Dentist - General Practice in Marietta, GA

Q: What is South Indy Dental, P.C.'s NPI number?

The NPI number for South Indy Dental, P.C. is 1679922470. It was assigned to this organization in the NPPES registry on June 13, 2016.

Q: What is South Indy Dental, P.C.'s specialty?

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

Active since June 13, 2016

1090 NORTHCHASE PKWY SE, STE. 150, MARIETTA, GA 30067(770) 916-5031 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About South Indy Dental, P.c. NPPES

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

SOUTH INDY DENTAL, P.C. (NPI 1679922470) is a healthcare organization registered as a general practice in Marietta, Georgia and active in the NPI registry since June 2016. The organization lists Thomas Quill, President, as its authorized official.

NPPES Registry Identity

NPI1679922470

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSOUTH INDY DENTAL, P.C.

Location Address1090 NORTHCHASE PKWY SE, STE. 150Marietta, GA 30067-6405

Mailing Address5217 Commerce CirIndianapolis, IN 46237-9747 · (317) 881-5000

Phone(770) 916-5031

Organization SubpartNo

Authorized OfficialThomas QuillPresident · (317) 881-5000

Enumeration DateJune 13, 2016

✔ NPI 1679922470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.

Also ListedDentistTaxonomy 122300000X

Also ListedDentist · EndodonticsTaxonomy 1223E0200X

Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X

1090 NORTHCHASE PKWY SE, Marietta, GA 30067

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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 Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

TARA C. PURSELY DMD

Dentist

1090 NORTHCHASE PKWY SE, SUITE 290
MARIETTA, GA 30067

Cobb County (770) 916-9526

SHARNN AARIN SHEPHEARD DDS

Dentist (General Practice)

1090 NORTHCHASE PKWY SE, SUITE 290
MARIETTA, GA 30067

Cobb County (678) 904-5665

BENEVIS, LLC

Dentist

1090 NORTHCHASE PKWY SE, SUITE 150
MARIETTA, GA 30067

Cobb County (770) 916-5028

NIPING WANG BDS, PHD

Dentist

1090 NORTHCHASE PKWY SE, SUITE 290
MARIETTA, GA 30067

Cobb County (678) 904-5665

MANHATTAN BOULEVARD DENTAL ASSOCIATES, A PROFESSIONAL CORPORATION

Dentist (General Practice)

1090 NORTHCHASE PKWY SE, STE 150
MARIETTA, GA 30067

Cobb County (770) 916-5031

YULIYA SALMERON

Dentist (General Practice)

1090 NORTHCHASE PKWY SE, SUITE 290
MARIETTA, GA 30067

Cobb County (770) 916-5037

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 South Indy Dental, P.C.'s NPI number?

The NPI number for South Indy Dental, P.C. is 1679922470. It was assigned to this organization in the NPPES registry on June 13, 2016.

Where is South Indy Dental, P.C. located?

South Indy Dental, P.C. is located at 1090 Northchase Pkwy SE Ste. 150, Marietta, GA 30067. The listed phone number is (770) 916-5031.

What is South Indy Dental, P.C.'s specialty?

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

What insurance does South Indy Dental, P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and UnitedHealthcare list South Indy Dental, P.C. 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 South Indy Dental, P.C. was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.