EXCELLENT DENTAL PROVIDERS PC NPI 1366953929

NPI Information

  • NPI: 1366953929
  • Provider Name: EXCELLENT DENTAL PROVIDERS, PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1001 MAIN ST STE F
    STONE MOUNTAIN, GA
    ZIP 30083
  • Phone: (770) 469-1331

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NPI Details

EXCELLENT DENTAL PROVIDERS, PC is a dental clinic center in Stone Mountain, GA. EXCELLENT DENTAL PROVIDERS, PC NPI is 1366953929. The provider is registered as an organization entity type.

The provider's business location address is:

1001 MAIN ST STE F
STONE MOUNTAIN, GA
ZIP 30083-922
Phone: (770) 469-1331

The provider's authorized official is Peter Dinh .
The authorized official title is Dentist and has the following contact phone number (678) 787-7858.

The enumeration date for this NPI number is 10/22/2017 and was last updated on 10/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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