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

Life Bridge Dental Ga LLC

Organization Dentist · NPI 1609532126

Life Bridge Dental Ga LLC is a Dentist in Atlanta, Georgia. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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

675 Ponce De Leon Ave NE
Atlanta, GA 30308-1884
Phone: (212) 686-3686
Fax: (615) 468-0325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1609532126
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Sullivan — Director Rcm · (615) 601-5250
NPI enumeratedNovember 9, 2021
Last updated in NPPESNovember 9, 2021
Certification dateNovember 9, 2021
Mailing address8 City Blvd Ste 203, Nashville, TN 37209-2559

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