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Southern Peach Dental PC

General Practice Dentistry in Atlanta, GA · enumerated 2025 · authorized official David Mckellar, Cfo.

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

National Provider Identifier

1508727157

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Peach Dental PC
Practice address 171 Cleveland Ave Sw, Atlanta, GA, 30315
Phone (678) 794-6966
Enumeration date Nov 22, 2025
Last updated in NPPES Nov 22, 2025

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name David Mckellar
Title Cfo
Phone (678) 794-6966

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.

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Frequently asked questions

What type of organization is Southern Peach Dental PC?
Southern Peach Dental PC is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-22.