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

Ideal Dental Chastain Park PC

Organization Dentist · NPI 1376285213

Ideal Dental Chastain Park PC is a Dentist in Atlanta, Georgia. Registered with an NPI since 2022.

In the registry since
2022
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

4365 Roswell Rd NE Ste 4411
Atlanta, GA 30342-3315
Phone: (470) 338-5353
Fax: (470) 980-0053
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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 number1376285213
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rodney Alles — Owner · (972) 331-8079
NPI enumeratedApril 11, 2022
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing addressPo Box 840925, Dallas, TX 75284-0925

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