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

Mouthpeace Dental 4, LLC

Organization Dental Clinic/Center · NPI 1811516479

Mouthpeace Dental 4, LLC is a Dental Clinic/Center in Forest Park, Georgia. Registered with an NPI since 2020.

In the registry since
2020
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

541 Forest Pkwy Ste 18
Forest Park, GA 30297-6110
Phone: (404) 228-6801
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1811516479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Syretta Wells — Owner /Dentist · (312) 371-1423
Other names Mouthpeace Dental
NPI enumeratedApril 14, 2020
Last updated in NPPESApril 14, 2020
Certification dateApril 14, 2020
Mailing address2149 Brannen Rd Se, Atlanta, GA 30316-4117

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