MOUTHPEACE DENTAL 4, LLC
NPI 1811516479
Clinic/Center - Dental in Forest Park, GA

Q: What is Mouthpeace Dental 4, LLC's NPI number?

The NPI number for Mouthpeace Dental 4, LLC is 1811516479. It was assigned to this organization in the NPPES registry on April 14, 2020. The provider is doing business as MouthPeace Dental.

Q: What is Mouthpeace Dental 4, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since April 14, 2020

541 FOREST PKWY STE 18, FOREST PARK, GA 30297(404) 228-6801 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mouthpeace Dental 4, Llc NPPES

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

MOUTHPEACE DENTAL 4, LLC (NPI 1811516479), doing business as Mouthpeace Dental, is a healthcare organization registered as a dental in Forest Park, Georgia and active in the NPI registry since April 2020. The organization lists Syretta Wells, Owner /dentist, as its authorized official.

NPPES Registry Identity

NPI1811516479

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameMOUTHPEACE DENTAL 4, LLC

Location Address541 FOREST PKWY STE 18Forest Park, GA 30297-6110

Mailing Address2149 Brannen Rd SeAtlanta, GA 30316-4117 · (312) 371-1423

Phone(404) 228-6801

Organization SubpartNo

Authorized OfficialSyretta WellsOwner /dentist · (312) 371-1423

Enumeration DateApril 14, 2020

NPPES CertifiedApril 14, 2020

✔ NPI 1811516479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

541 FOREST PKWY STE 18, Forest Park, GA 30297

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Other Names 1

Doing Business AsMouthpeace Dental

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 Mouthpeace Dental 4, LLC's NPI number?

The NPI number for Mouthpeace Dental 4, LLC is 1811516479. It was assigned to this organization in the NPPES registry on April 14, 2020. The provider is doing business as MouthPeace Dental.

Where is Mouthpeace Dental 4, LLC located?

Mouthpeace Dental 4, LLC is located at 541 Forest Pkwy Ste 18, Forest Park, GA 30297. The listed phone number is (404) 228-6801.

What is Mouthpeace Dental 4, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Mouthpeace Dental 4, LLC was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.