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SACRED DENTAL
NPI 1932461860
Dentist in Conyers, GA

Active since June 15, 2012
1360 DOGWOOD DRIVE, CONYERS, GA 30013(770) 474-9202 Get Directions Write a Review

NPPES record last updated: June 15, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sacred Dental NPPES

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

SACRED DENTAL (NPI 1932461860) is a healthcare organization registered as a dentist in Conyers, Georgia and active in the NPI registry since June 2012. The organization lists Agatha Nwizu, Dentist, as its authorized official.

NPPES Registry Identity

NPI1932461860
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSACRED DENTAL
Location Address1360 DOGWOOD DRIVEConyers, GA 30013
Mailing Address1360 Dogwood Dr SeConyers, GA 30013-5075 · (770) 474-9202 · Fax (770) 474-9842
Phone(770) 474-9202
Organization SubpartNo
Authorized OfficialAgatha NwizuDentist · (770) 474-9202
Enumeration DateJune 15, 2012
✔ NPI 1932461860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · DN013176
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1360 DOGWOOD DRIVE, Conyers, GA 30013
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Sacred Dental's NPI number?

The NPI number for Sacred Dental is 1932461860. It was assigned to this organization in the NPPES registry on June 15, 2012.

Where is Sacred Dental located?

Sacred Dental is located at 1360 Dogwood Drive, Conyers, GA 30013. The listed phone number is (770) 474-9202.

What is Sacred Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Sacred Dental accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Sacred Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sacred Dental was last updated on June 15, 2012. 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.