OrganizationActive
Life Bridge Dental Ga LLC
NPI 1609532126 · Dentist · Atlanta, GA
Life Bridge Dental Ga LLC is a Dentist organization in Atlanta, GA (NPI 1609532126).
Provider details
- NPI number
- 1609532126
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Kenneth Sullivan, Director Rcm(615) 601-5250
Specialties & taxonomies
Dental Providers
Dental Providers
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
675 Ponce De Leon Ave Ne
Atlanta, GA 30308-1884
Phone: (212) 686-3686
Fax: (615) 468-0325
Street-level locationGet directions
Mailing address
8 City Blvd Ste 203
Nashville, TN 37209-2559
Registry dates
- Enumerated
- 2021-11-09
- Last updated
- 2021-11-09
- Certified
- 2021-11-09
Frequently asked questions
- What is Life Bridge Dental Ga LLC's NPI number?
- Life Bridge Dental Ga LLC's National Provider Identifier (NPI) is 1609532126, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Bridge Dental Ga LLC?
- Life Bridge Dental Ga LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Life Bridge Dental Ga LLC located?
- Life Bridge Dental Ga LLC's practice location on file with NPPES is 675 Ponce De Leon Ave Ne, Atlanta, GA 30308-1884.
- What is Life Bridge Dental Ga LLC's phone number?
- The practice phone number listed in the NPPES registry for Life Bridge Dental Ga LLC is (212) 686-3686.
- Who is the authorized official for Life Bridge Dental Ga LLC?
- The authorized official listed on Life Bridge Dental Ga LLC's NPPES record is Kenneth Sullivan, Director Rcm. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Bridge Dental Ga LLC's NPI active?
- Yes — Life Bridge Dental Ga LLC's NPI (1609532126) is active in the NPPES registry as of the last update on 2021-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.