Life Bridge Dental Ga Llc
Orthodontics and Dentofacial Clinic
675 Ponce De Leon Ave Ne, Atlanta
Georgia, 30308-1884
212-686-3686 615-468-0325
Maps & DirectionsLife Bridge Dental Ga Llc is a Orthodontics and Dentofacial Clinic in Atlanta, Georgia. It is located at 675 Ponce De Leon Ave Ne, Atlanta, GA and its contact number is 212-686-3686. The authorized person for Life Bridge Dental Ga Llc is Kenneth Neil Sullivan
who is Director Rcm of the clinic and their contact number is 615-601-5250.
Life Bridge Dental Ga Llc Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Life Bridge Dental Ga Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Life Bridge Dental Ga Llc |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 675 Ponce De Leon Ave Ne, Atlanta,
Georgia, 30308-1884 |
| Phone: | 212-686-3686 |
| Fax: | 615-468-0325 |
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: | Kenneth Neil Sullivan |
| Position: | Director Rcm |
| Contact Number: | 615-601-5250 |
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 Life Bridge Dental Ga Llc clinic are as mentioned below.
| NPI Number: | 1609532126 |
| NPI Enumeration Date: | 09 Nov, 2021 |
| NPI Last Update On: | 09 Nov, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Life Bridge Dental Ga Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | | Primary | |
| Orthodontics and Dentofacial Orthopedics | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Life Bridge Dental Ga Llc
8 City Blvd Ste 203,
Nashville, Tennessee |
| Zip: | 37209-2559 |
| Phone Number: | 212-686-3686 |
| Fax Number: | 615-468-0325 |
Patients can reach Life Bridge Dental Ga Llc at
675 Ponce De Leon Ave Ne, Atlanta, Georgia or can
call to book an appointment on 212-686-3686.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.