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

Southeast Oral Diagnostics LLC

Organization Oral and Maxillofacial Pathology Dentistry · NPI 1063378966

Southeast Oral Diagnostics LLC is an Oral and Maxillofacial Pathology Dentistry in Alpharetta, Georgia. Works from 4 locations. Registered with an NPI since 2026.

In the registry since
2026
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

282 Rucker Rd Ste 110
Alpharetta, GA 30004-5826
Phone: (770) 992-4844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 550 Pharr Rd Ne Ste 325, Atlanta, GA 30305-3450 — (404) 233-8221
  • 5555 Peachtree Dunwoody Rd Ste G56, Atlanta, GA 30342-1700 — (404) 252-5626
  • 755 Commerce Dr Ste A, Decatur, GA 30030-2613 — (404) 378-2331

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X

Record details

NPI number1063378966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Wetzel — Owner/ Dentist · (770) 992-4844
NPI enumeratedJanuary 5, 2026
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing address346 Preston Ave, Lexington, KY 40502-1532

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