JUDGE, LISA MARIA DDS PC
NPI 1811040728
Dentist - General Practice in Marietta, GA

Active since January 22, 2007
1230 POWERS FERRY RD SE, SUITE #6, MARIETTA, GA 30067(770) 541-0101(770) 541-0102 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Judge, Lisa Maria Dds Pc NPPES

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

JUDGE, LISA MARIA DDS PC (NPI 1811040728) is a healthcare organization registered as a general practice in Marietta, Georgia and active in the NPI registry since January 2007. The organization lists Lisa M Judge, Doctor Owner, as its authorized official.

NPPES Registry Identity

NPI1811040728
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJUDGE, LISA MARIA DDS PC
Location Address1230 POWERS FERRY RD SE, SUITE #6Marietta, GA 30067-5495
Mailing Address1230 Powers Ferry Rd Se, Suite #6Marietta, GA 30067-5495 · (770) 541-0101 · Fax (770) 541-0102
Fax(770) 541-0102
Organization SubpartNo
Authorized OfficialLisa M JudgeDoctor Owner · (770) 541-0101
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJune 16, 2008
NPI 1811040728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in GA · DN011180 Licensed in LA · 4430
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.
1230 POWERS FERRY RD SE, Marietta, GA 30067

Other Identifiers 1

Medicaid00764112BGA

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 MULTIPLE 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 Judge, Lisa Maria Dds PC's NPI number?

The NPI number for Judge, Lisa Maria Dds PC is 1811040728. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Judge, Lisa Maria Dds PC located?

Judge, Lisa Maria Dds PC is located at 1230 Powers Ferry Rd SE Suite #6, Marietta, GA 30067. The listed phone number is (770) 541-0101.

What is Judge, Lisa Maria Dds 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 Judge, Lisa Maria Dds PC was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.