Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Professional Dental Alliance of Atlanta Boulevard SE, LLC

Organization Dentist · NPI 1689239675

Professional Dental Alliance of Atlanta Boulevard SE, LLC provides Dentist services in Atlanta, Georgia. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

465 Blvd SE Ste 207A
Atlanta, GA 30312-3483
Phone: (404) 624-1230
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1689239675
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Howard — Credentialing Specialist · (724) 698-2029
NPI enumeratedMay 6, 2019
Last updated in NPPESMay 6, 2019
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

Other providers in Atlanta