OrganizationActive
Creekside Dentistry, LLC
NPI 1558768770 · General Practice Dentistry · Loganville, GA
Provider details
- NPI number
- 1558768770
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Cyndi Simmons, Practice Manager(770) 466-0474
- License
- GA8776 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
3238 Krisam Creek Dr
Loganville, GA 30052-7942
Phone: (770) 466-0474
Fax: (770) 466-3894
Street-level locationGet directions
Mailing address
3238 Krisam Creek Dr
Loganville, GA 30052-7942
Registry dates
- Enumerated
- 2014-12-03
- Last updated
- 2014-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.