OrganizationActive
Itarut Dental LLC
NPI 1164986113 · Dental Clinic/Center · Tucker, GA
Itarut Dental LLC is a Dental Clinic/Center organization in Tucker, GA (NPI 1164986113).
Provider details
- NPI number
- 1164986113
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Piyanut Itarut, Organizer(618) 977-6071
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
3756 La Vista Rd
Suite 102
Tucker, GA 30084-5642
Phone: (404) 636-4700
Street-level locationGet directions
Mailing address
3756 La Vista Rd
Tucker, GA 30084-5642
Other names (DBA / former)
- Doing business as
- Northlake Family Dentistry
Registry dates
- Enumerated
- 2019-01-24
- Last updated
- 2019-01-24
Frequently asked questions
- What is Itarut Dental LLC's NPI number?
- Itarut Dental LLC's National Provider Identifier (NPI) is 1164986113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Itarut Dental LLC?
- Itarut Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Itarut Dental LLC located?
- Itarut Dental LLC's practice location on file with NPPES is 3756 La Vista Rd, Tucker, GA 30084-5642.
- What is Itarut Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Itarut Dental LLC is (404) 636-4700.
- Who is the authorized official for Itarut Dental LLC?
- The authorized official listed on Itarut Dental LLC's NPPES record is Piyanut Itarut, Organizer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Itarut Dental LLC's NPI active?
- Yes — Itarut Dental LLC's NPI (1164986113) is active in the NPPES registry as of the last update on 2019-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.