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NPI · 1124373139 · NPPES-sourced

Executive Park Dentistry, P.C.

ActiveDentist
NPI Number
1124373139
Type 2 · Organisation
Taxonomy Code
122300000X
Contact
(404) 633-0715
License GA · DN012967
Last Updated
Enumerated
Primary practice addressGA · 30329-2251
17 Executive Park Dr Ne, Suite 100Atlanta, GA 30329-2251
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About this NPIWhat this record shows.

NPI 1124373139 is registered to Executive Park Dentistry, P.C., a healthcare organisation classified as "Dentist" and located at 17 Executive Park Dr Ne, Suite 100 in Atlanta, Georgia. The organisation's authorised official is Omar Damji. The organisation has been enumerated in the NPI registry since 2012.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Executive Park Dentistry, P.C. accepts. To confirm in-network status with your specific health plan, contact Executive Park Dentistry, P.C. directly at (404) 633-0715.

Frequently asked

Yes. NPI 1124373139 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (404) 633-0715.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Executive Park Dentistry, P.C. is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy122300000X
Last updated
Enumerated
StatusActive
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