Southeast Oral Diagnostics LLC
NPI 1063378966 · Oral and Maxillofacial Pathology Dentistry · Alpharetta, GA
Southeast Oral Diagnostics LLC is a Oral and Maxillofacial Pathology Dentistry organization in Alpharetta, GA (NPI 1063378966).
Provider details
- NPI number
- 1063378966
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Stephanie Wetzel, Owner/ Dentist(770) 992-4844
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 5555 Peachtree Dunwoody Rd Ste G56Atlanta, GA 30342-1700Phone: (404) 252-5626
- 550 Pharr Rd Ne Ste 325Atlanta, GA 30305-3450Phone: (404) 233-8221
- 755 Commerce Dr Ste aDecatur, GA 30030-2613Phone: (404) 378-2331
Registry dates
- Enumerated
- 2026-01-05
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Frequently asked questions
- What is Southeast Oral Diagnostics LLC's NPI number?
- Southeast Oral Diagnostics LLC's National Provider Identifier (NPI) is 1063378966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Oral Diagnostics LLC?
- Southeast Oral Diagnostics LLC is classified in the NPPES registry as Oral and Maxillofacial Pathology Dentistry (Dental Providers).
- Where is Southeast Oral Diagnostics LLC located?
- Southeast Oral Diagnostics LLC's practice location on file with NPPES is 282 Rucker Rd Ste 110, Alpharetta, GA 30004-5826.
- What is Southeast Oral Diagnostics LLC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Oral Diagnostics LLC is (770) 992-4844.
- Who is the authorized official for Southeast Oral Diagnostics LLC?
- The authorized official listed on Southeast Oral Diagnostics LLC's NPPES record is Stephanie Wetzel, Owner/ Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Oral Diagnostics LLC's NPI active?
- Yes — Southeast Oral Diagnostics LLC's NPI (1063378966) is active in the NPPES registry as of the last update on 2026-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.