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

Itarut Dental LLC

Organization Dental Clinic/Center · NPI 1164986113

Itarut Dental LLC is a Dental Clinic/Center in Tucker, Georgia. Registered with an NPI since 2019.

In the registry since
2019
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

3756 La Vista Rd Ste 102
Tucker, GA 30084-5642
Phone: (404) 636-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1164986113
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Piyanut Itarut — Organizer · (618) 977-6071
Other names Northlake Family Dentistry
NPI enumeratedJanuary 24, 2019
Last updated in NPPESJanuary 24, 2019
Mailing address3756 La Vista Rd, Suite 102, Tucker, GA 30084-5642

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