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PROFESSIONAL DENTAL ALLIANCE OF LITHONIA, LLC
NPI 1891352043
Dentist - General Practice in Lithonia, GA

Active since May 23, 2019
8028 ROCKBRIDGE RD, LITHONIA, GA 30058(770) 482-2310 Get Directions Write a Review

NPPES record last updated: May 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Dental Alliance Of Lithonia, Llc NPPES

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

PROFESSIONAL DENTAL ALLIANCE OF LITHONIA, LLC (NPI 1891352043) is a healthcare organization registered as a general practice in Lithonia, Georgia and active in the NPI registry since May 2019. The organization lists Jessica Barrette, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1891352043
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF LITHONIA, LLC
Location Address8028 ROCKBRIDGE RDLithonia, GA 30058-5882
Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680
Phone(770) 482-2310
Organization SubpartNo
Authorized OfficialJessica BarretteCredentialing Specialist · (724) 698-2997
Enumeration DateMay 23, 2019
✔ NPI 1891352043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
8028 ROCKBRIDGE RD, Lithonia, GA 30058
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

DR. CHERYL MCMAHON-LEE DDS
Dentist (General Practice)
8028 ROCKBRIDGE RD
LITHONIA, GA 30058
Dekalb County (770) 482-2310

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 Professional Dental Alliance Of Lithonia, LLC's NPI number?

The NPI number for Professional Dental Alliance Of Lithonia, LLC is 1891352043. It was assigned to this organization in the NPPES registry on May 23, 2019.

Where is Professional Dental Alliance Of Lithonia, LLC located?

Professional Dental Alliance Of Lithonia, LLC is located at 8028 Rockbridge Rd, Lithonia, GA 30058. The listed phone number is (770) 482-2310.

What is Professional Dental Alliance Of Lithonia, 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 Professional Dental Alliance Of Lithonia, LLC was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.