Ga Southern Dental PPO
Ga Southern Dental PPO is a Dentist in Atlanta, Georgia. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
1820 The Exchange SE Ste 700Atlanta, GA 30339-2083
Phone: (770) 980-0232
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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 number | 1619898509 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Ga Sothern Dental PPO |
| Authorized official | Erika Menjivar — Sr. Credentialing Specialist · (469) 596-6137 |
| Other names | Mallard Cove Dental |
| NPI enumerated | July 24, 2026 |
| Last updated in NPPES | July 24, 2026 |
| Certification date | July 24, 2026 |
| Mailing address | 5830 Granite Pkwy Ste 780, Plano, TX 75024-6775 |
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Ga Southern Dental LLC
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