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

Ga Southern Dental PPO

Organization Dentist · NPI 1811723695

Ga Southern Dental PPO is a Dentist in Atlanta, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

857 Collier Rd NW # 14
Atlanta, GA 30318-2532
Phone: (404) 355-4952
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1811723695
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGa Southern Dental PPO
Authorized official Erika Menjivar — Sr. Credentialing Specialist · (469) 596-6137
Other names Collier Hills Dentistry
NPI enumeratedSeptember 10, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address5830 Granite Pkwy Ste 780, Plano, TX 75024-6775

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