OrganizationActive
Elisha W Buckley DDS PC
NPI 1104598457 · Dental Clinic/Center · Roswell, GA
Provider details
- NPI number
- 1104598457
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Elisha Buckley, Owner(678) 524-7364
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
540 E Crossville Rd Ste 200
Roswell, GA 30075-7661
Phone: (678) 524-7364
Street-level locationGet directions
Mailing address
4807 Wigley Rd Ne
Marietta, GA 30066-1503
Other names (DBA / former)
- Doing business as
- Buckley Dental Care
Registry dates
- Enumerated
- 2021-10-04
- Last updated
- 2021-10-04
- Certified
- 2021-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.