Ga Southern Dental Ppo is a Dental Clinic in Suwanee, Georgia. This organization is also known as sub part of Ga Southern Dental Ppo. It is located at 1000 Peachtree Industrial Blvd Ste 10, Suwanee, GA and its contact number is 770-614-4666. The authorized person for Ga Southern Dental Ppo is Erika Melissa Menjivar
who is Sr. Credentialing Specialist of the clinic and their contact number is 469-596-6137.
Ga Southern Dental Ppo Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Ga Southern Dental Ppo Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Ga Southern Dental Ppo |
| Specialization: | Dentistry |
| Clinic Address: | 1000 Peachtree Industrial Blvd Ste 10, Suwanee,
Georgia, 30024-1977 |
| Phone: | 770-614-4666 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Erika Melissa Menjivar |
| Position: | Sr. Credentialing Specialist |
| Contact Number: | 469-596-6137 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ga Southern Dental Ppo clinic are as mentioned below.
| NPI Number: | 1417783291 |
| Parent Organization: | Ga Southern Dental Ppo |
| NPI Enumeration Date: | 10 Sep, 2024 |
| NPI Last Update On: | 10 Sep, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ga Southern Dental Ppo are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ga Southern Dental Ppo
5830 Granite Pkwy Ste 780,
Plano, Texas |
| Zip: | 75024-6775 |
| Phone Number: | 469-596-6137 |
Patients can reach Ga Southern Dental Ppo at
1000 Peachtree Industrial Blvd Ste 10, Suwanee, Georgia or can
call to book an appointment on 770-614-4666.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.