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

Glenwood Park Dentistry, PC

Organization General Practice Dentistry · NPI 1053769265

Glenwood Park Dentistry, PC is a General Practice Dentistry in Atlanta, Georgia. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

790 Glenwood Ave SE Ste 210
Atlanta, GA 30316-2002
Phone: (404) 260-4767
Fax: (404) 609-2508
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1053769265
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yelena Chuzhin — Owner · (404) 260-4767
Other names Glenwood Dentistry; Glenwood Dentistry
NPI enumeratedMay 27, 2016
Last updated in NPPESFebruary 11, 2022
Certification dateFebruary 11, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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