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

Dr. Aaron R Mulyadi, DMD

Individual provider Dentist · NPI 1134565807

Dr. Aaron R Mulyadi, DMD is a Dentist in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia and Massachusetts.

Licensed in
GA, MA
In the registry since
2013
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

699 Ponce De Leon Ave NE Ste 1
Atlanta, GA 30308-1800
Phone: (678) 221-4954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN123363 (GA)
Dentist Taxonomy 122300000X · Licence DN1856246 (MA)

Record details

NPI number1134565807
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 21, 2013
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024

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