OrganizationActive
Peach Blossom Dental, LLC
NPI 1174051908 · Dental Clinic/Center · Tucker, GA
Provider details
- NPI number
- 1174051908
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Angela Wright, Owner(770) 934-5144
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
2256 Northlake Pkwy Ste 150
Tucker, GA 30084-4004
Phone: (770) 934-5144
Fax: (678) 273-3634
Street-level locationGet directions
Mailing address
2256 Northlake Pkwy Ste 150
Tucker, GA 30084-4004
Registry dates
- Enumerated
- 2017-05-24
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.