Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Ga Southern Dental Ppo

Q: What is the NPI number for Ga Southern Dental Ppo?

The NPI for Ga Southern Dental Ppo is 1417783291, a Type 2 (organization) record in the CMS NPPES registry.

Dentist in Suwanee, GA · enumerated 2024 · authorized official Erika Menjivar, Sr. Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417783291

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Registry record

Entity type Organization (Type 2)

Legal business name Ga Southern Dental Ppo

Parent organization Ga Southern Dental Ppo

Practice address 1000 Peachtree Industrial Blvd Ste 10, Suwanee, GA, 30024

Phone (770) 614-4666

Enumeration date Sep 10, 2024

Last updated in NPPES Mar 17, 2026

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Erika Menjivar

Title Sr. Credentialing Specialist

Phone (469) 596-6137

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Ga Southern Dental Ppo?

NPPES lists Erika Menjivar (Sr. Credentialing Specialist) as the authorized official for this organization.

What is the NPI number for Ga Southern Dental Ppo?

The NPI for Ga Southern Dental Ppo is 1417783291, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-17.