Individual provider · Type 1 NPI

Shea Sera

General Practice Dentistry · Decatur, GA

NPI number 1104762905 Active

Practice location

2570 Blackmon Dr Ste 310
Decatur, GA 30033-6197

Call (678) 203-3462 Map

Mailing address

PO Box 5006
Kahului, HI 96733-5006

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN124232 (GA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1104762905

Shea Sera's National Provider Identifier is 1104762905, issued on Apr 25, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Decatur, GA. The record was last updated on Jul 17, 2026.