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

South Indy Dental, PC

Organization Dentist · NPI 1679922470

South Indy Dental, PC is a Dentist in Marietta, Georgia. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
5
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

1090 Northchase Pkwy SE Ste 150
Marietta, GA 30067-6405
Phone: (770) 916-5031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dentist Taxonomy 122300000X
Endodontics Taxonomy 1223E0200X
Pediatric Dentistry Taxonomy 1223P0221X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1679922470
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Quill — President · (317) 881-5000
NPI enumeratedJune 13, 2016
Last updated in NPPESJune 13, 2016
Mailing address5217 Commerce Cir, Indianapolis, IN 46237-9747

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