IndividualActive
Martin Boeckh
NPI 1104030477 · General Practice Dentistry · Austell, GA
Martin Boeckh is a General Practice Dentistry provider in Austell, GA (NPI 1104030477).
Provider details
- NPI number
- 1104030477
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7521 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 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
3845 Medical Park Dr
Austell, GA 30106-1109
Phone: (770) 739-2100
Fax: (850) 837-2042
Street-level locationGet directions
Mailing address
3845 Medical Park Dr
Austell, GA 30106-1109
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2007-07-08
Frequently asked questions
- What is Martin Boeckh's NPI number?
- Martin Boeckh's National Provider Identifier (NPI) is 1104030477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Martin Boeckh's specialty?
- Martin Boeckh is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Martin Boeckh located?
- Martin Boeckh's practice location on file with NPPES is 3845 Medical Park Dr, Austell, GA 30106-1109.
- What is Martin Boeckh's phone number?
- The practice phone number listed in the NPPES registry for Martin Boeckh is (770) 739-2100.
- Is Martin Boeckh's NPI active?
- Yes — Martin Boeckh's NPI (1104030477) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.