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GA SOTHERN DENTAL PPO
NPI 1750117537
Dentist in Marietta, GA

Active since September 10, 2024
3911 MARY ELIZA TRCE NW STE 100, MARIETTA, GA 30064(770) 362-6417 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ga Sothern Dental Ppo NPPES

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

GA SOTHERN DENTAL PPO (NPI 1750117537), doing business as Natural Smiles Dentistry, is a healthcare organization registered as a dentist in Marietta, Georgia and active in the NPI registry since September 2024. The organization lists Erika Melissa Menjivar, Sr. Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1750117537
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGA SOTHERN DENTAL PPO
Location Address3911 MARY ELIZA TRCE NW STE 100Marietta, GA 30064-1087
Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775 · (469) 596-6137
Phone(770) 362-6417
Organization SubpartYes
Authorized OfficialErika Melissa MenjivarSr. Credentialing Specialist · (469) 596-6137
Enumeration DateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
✔ NPI 1750117537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3911 MARY ELIZA TRCE NW STE 100, Marietta, GA 30064
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Other Names 1

Doing Business AsNatural Smiles Dentistry

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

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

PAULO OLINDA
Dentist
3911 MARY ELIZA TRCE NW STE 100
MARIETTA, GA 30064
Cobb County (770) 528-9966

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 Ga Sothern Dental Ppo's NPI number?

The NPI number for Ga Sothern Dental Ppo is 1750117537. It was assigned to this organization in the NPPES registry on September 10, 2024. The provider is doing business as Natural Smiles Dentistry.

Where is Ga Sothern Dental Ppo located?

Ga Sothern Dental Ppo is located at 3911 Mary Eliza Trce NW Ste 100, Marietta, GA 30064. The listed phone number is (770) 362-6417.

What is Ga Sothern Dental Ppo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Ga Sothern Dental Ppo was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.