IndividualActiveAccepts Medicare
Robert Israel, DDS
NPI 1073521050 · Dentist · Suwanee, GA
Enrolled with Medicare as Order and Referring Only - Other (non-Physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1073521050
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 9255 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1230 Satellite Blvd Nw
St 100
Suwanee, GA 30024-3212
Phone: (770) 476-9192
Fax: (770) 476-9193
Street-level locationGet directions
Mailing address
1230 Satellite Blvd Nw
Suwanee, GA 30024-3212
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2015-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.