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OLDE MILL FAMILY DENTAL
NPI 1720458177
Dentist - General Practice in Marietta, GA

Active since September 29, 2015
3101 ROSWELL RD, SUITE 164, MARIETTA, GA 30062(678) 310-0330 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Olde Mill Family Dental NPPES

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

OLDE MILL FAMILY DENTAL (NPI 1720458177) is a healthcare organization registered as a general practice in Marietta, Georgia and active in the NPI registry since September 2015. The organization lists Kendra Walker, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1720458177
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGEORGIA DENTAL PROFESSIONALS, PC
Location Address3101 ROSWELL RD, SUITE 164Marietta, GA 30062-7621
Mailing Address3101 Roswell Rd, Suite 164Marietta, GA 30062-7621 · (678) 310-0330
Phone(678) 310-0330
Organization SubpartYes
Authorized OfficialKendra WalkerCredentialing Coordinator · (217) 540-8312
Enumeration DateSeptember 29, 2015
Last NPPES UpdateNovember 4, 2015
✔ NPI 1720458177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3101 ROSWELL RD, Marietta, GA 30062
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Other Names 1

Doing Business AsOlde Mill Family Dental

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.

WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
3101 ROSWELL RD
MARIETTA, GA 30062
Cobb County (678) 695-4961
DR. SAPNA JIWANI CHARANIA
Pharmacist
3101 ROSWELL RD
MARIETTA, GA 30062
Cobb County (678) 695-4961

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 Georgia Dental Professionals, PC's NPI number?

The NPI number for Georgia Dental Professionals, PC is 1720458177. It was assigned to this organization in the NPPES registry on September 29, 2015. The provider is doing business as Olde Mill Family Dental.

Where is Georgia Dental Professionals, PC located?

Georgia Dental Professionals, PC is located at 3101 Roswell Rd Suite 164, Marietta, GA 30062. The listed phone number is (678) 310-0330.

What is Georgia Dental Professionals, PC'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 Georgia Dental Professionals, PC was last updated on November 4, 2015. 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.