Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ga Southern Dental LLC

Organization Dentist · NPI 1255285607

Ga Southern Dental LLC is a Dentist in Marietta, Georgia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1225 Johnson Ferry Rd Ste 660
Marietta, GA 30068-2772
Phone: (770) 973-6494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1255285607
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGa Southern Dental LLC
Authorized official Erika Menjivar — Sr. Credentialing Specialist · (469) 596-6137
Other names Georgia Dental Medicine
NPI enumeratedFebruary 23, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address5830 Granite Pkwy Ste 780, Plano, TX 75024-6775

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