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NPI 1164826897 · live from the CMS NPI Registry

Alpine Dental Group Of Buckhead

Dentist, General Practice in Atlanta, GA. National Provider Identifier 1164826897, active.

NPI record

NPI1164826897 Type 2 · organization
StatusActive
Primary specialtyDentist, General Practice 1223G0001X
Practice location3490 Piedmont Rd Ne, Suite 230, Atlanta, GA 30305
Practice phone404-233-4900
EnumeratedOctober 9, 2014
Last updatedOctober 9, 2014
Authorized officialNathan Peters, Owner/Dentist

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, General Practice1223G0001XDN014161 (GA)
Dentist, Orthodontics and Dentofacial Orthopedics1223X0400XDN014377 (GA)
Dentist, General Practice primary1223G0001XDN012879 (GA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.