BUCKHEAD SMILES COSMETIC AND FAMILY DENTISTRY LLC
NPI 1770613119
Dentist - General Practice in Atlanta, GA

Q: What is Buckhead Smiles Cosmetic And Family Dentistry LLC's specialty?

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

Active since March 06, 2007

321 PHARR RD NE, SUITE A, ATLANTA, GA 30305(404) 917-1111(404) 917-1113 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Buckhead Smiles Cosmetic And Family Dentistry Llc NPPES

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

BUCKHEAD SMILES COSMETIC AND FAMILY DENTISTRY LLC (NPI 1770613119) is a healthcare organization registered as a general practice in Atlanta, Georgia and active in the NPI registry since March 2007. The organization lists Portia Maxine Grayson, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1770613119

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBUCKHEAD SMILES COSMETIC AND FAMILY DENTISTRY LLC

Location Address321 PHARR RD NE, SUITE AAtlanta, GA 30305-2346

Mailing Address321 Pharr Rd Ne, Suite AAtlanta, GA 30305-2346 · (404) 917-1111 · Fax (404) 917-1113

Phone(404) 917-1111

Fax(404) 917-1113

Organization SubpartNo

Authorized OfficialPortia Maxine GraysonOwner Dentist · (404) 917-1111

Enumeration DateMarch 6, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1770613119 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 · DN012800

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.

321 PHARR RD NE, Atlanta, GA 30305

Open in Google Maps ↗

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

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 Buckhead Smiles Cosmetic And Family Dentistry LLC's NPI number?

The NPI number for Buckhead Smiles Cosmetic And Family Dentistry LLC is 1770613119. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Buckhead Smiles Cosmetic And Family Dentistry LLC located?

Buckhead Smiles Cosmetic And Family Dentistry LLC is located at 321 Pharr Rd NE Suite A, Atlanta, GA 30305. The listed phone number is (404) 917-1111.

What is Buckhead Smiles Cosmetic And Family Dentistry LLC'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 Buckhead Smiles Cosmetic And Family Dentistry LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.