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

Sacred Dental

Organization Dentist · NPI 1932461860

Sacred Dental is a Dentist in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012

Practice location Address checks out

1360 Dogwood Dr
Conyers, GA 30013
Phone: (770) 474-9202
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN013176 (GA)

Record details

NPI number1932461860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Agatha Nwizu — Dentist · (770) 474-9202
NPI enumeratedJune 15, 2012
Last updated in NPPESJune 15, 2012
Mailing address1360 Dogwood Dr Se, Conyers, GA 30013-5075

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