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DECATUR DENTAL GROUP, LLC
NPI 1891002531
Dentist - General Practice in Decatur, GA

Active since September 01, 2010
3660 FLAT SHOALS RD, SUITE 100, DECATUR, GA 30034(404) 243-0217(404) 243-9313 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Decatur Dental Group, Llc NPPES

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

DECATUR DENTAL GROUP, LLC (NPI 1891002531) is a healthcare organization registered as a general practice in Decatur, Georgia and active in the NPI registry since September 2010. The organization lists Resa Johnelle Roberts, Organizer, as its authorized official.

NPPES Registry Identity

NPI1891002531
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDECATUR DENTAL GROUP, LLC
Location Address3660 FLAT SHOALS RD, SUITE 100Decatur, GA 30034-1632
Mailing Address3660 Flat Shoals Rd, Suite 100Decatur, GA 30034-1632 · (404) 243-0217 · Fax (404) 243-9313
Phone(404) 243-0217
Fax(404) 243-9313
Organization SubpartNo
Authorized OfficialResa Johnelle RobertsOrganizer · (404) 556-1393
Enumeration DateSeptember 1, 2010
Last NPPES UpdateSeptember 21, 2011
✔ NPI 1891002531 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 · DN010168
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.
3660 FLAT SHOALS RD, Decatur, GA 30034
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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 5

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

EAST ATLANTA FAMILY MEDICINE
Family Medicine
3660 FLAT SHOALS RD, SUITE 200
DECATUR, GA 30034
Dekalb County (404) 244-1813
DR. MARC HOWARD ROBERTS D.D.S.
Dentist (General Practice)
3660 FLAT SHOALS RD, SUITE 100
DECATUR, GA 30034
Dekalb County (404) 243-0217
AKILIAH JOHNSON D.C.
Chiropractor
3660 FLAT SHOALS RD, #250
DECATUR, GA 30034
Dekalb County (404) 348-4501
CARE FAMILY MEDICAL CENTER
Family Medicine
3660 FLAT SHOALS RD, SUITE 250
DECATUR, GA 30034
Dekalb County (404) 664-4549
DR. KHALIL DANIEL CUMBERBATCH D.D.S.
Dentist (General Practice)
3660 FLAT SHOALS RD, STE 100
DECATUR, GA 30034
Dekalb County (404) 243-0217

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 Decatur Dental Group, LLC's NPI number?

The NPI number for Decatur Dental Group, LLC is 1891002531. It was assigned to this organization in the NPPES registry on September 1, 2010.

Where is Decatur Dental Group, LLC located?

Decatur Dental Group, LLC is located at 3660 Flat Shoals Rd Suite 100, Decatur, GA 30034. The listed phone number is (404) 243-0217.

What is Decatur Dental Group, 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 Decatur Dental Group, LLC was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.