Organization · Type 2 NPI

Ga Southern Dental LLC

Dentist · Marietta, GA

NPI number 1255285607 Active

Practice location

1225 Johnson Ferry Rd Ste 660
Marietta, GA 30068-2772

Mailing address

5830 Granite Pkwy Ste 780
Plano, TX 75024-6775

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1255285607

Ga Southern Dental LLC's National Provider Identifier is 1255285607, issued on Feb 23, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Marietta, GA. The record was last updated on Feb 23, 2026.