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DR. SLADE WALLACE LAIL D.D.S.
NPI 1902997109
Dentist - General Practice in Duluth, GA

Active since September 27, 2006PECOS Enrolled
3415 DULUTH HIGHWAY 120, DULUTH, GA 30096(770) 476-2400(770) 476-2394 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Slade Wallace Lail D.d.s. NPPES

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

DR. SLADE WALLACE LAIL D.D.S. (NPI 1902997109) is an individual general practice provider in Duluth, Georgia, licensed in Georgia (11701) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902997109
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SLADE WALLACE LAILCredential: D.D.S.
Location Address3415 DULUTH HIGHWAY 120Duluth, GA 30096-3354
Mailing Address3415 Duluth Highway 120Duluth, GA 30096-3354 · (770) 476-2400 · Fax (770) 476-2394
Phone(770) 476-2400
Fax(770) 476-2394
Sole ProprietorYes
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902997109 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 · 11701
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.
3415 DULUTH HIGHWAY 120, Duluth, GA 30096
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Slade Wallace Lail D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. HYMAN HOLLIS SALYER III D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
3415 DULUTH HIGHWAY 120, SUITE 2
DULUTH, GA 30096
Gwinnett County (770) 623-8520
DR. JAMES NATHANIEL RALEY DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
3415 DULUTH HIGHWAY 120
DULUTH, GA 30096
Gwinnett County (770) 623-8520

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 Slade Lail's NPI number?

The NPI number for Slade Lail is 1902997109. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Slade Lail located?

Slade Lail practices at 3415 Duluth Highway 120, Duluth, GA 30096. The listed phone number is (770) 476-2400.

What is Slade Lail's specialty?

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

Is Slade Lail enrolled in Medicare?

Yes. Slade Lail is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Slade Lail was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.