OrganizationActive
Professional Dental Alliance of Atlanta Boulevard Se, LLC
NPI 1689239675 · Dentist · Atlanta, GA
Professional Dental Alliance of Atlanta Boulevard Se, LLC is a Dentist organization in Atlanta, GA (NPI 1689239675).
Provider details
- NPI number
- 1689239675
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Lauren Howard, Credentialing Specialist(724) 698-2029
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 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
465 Boulevard Se Ste 207a
Atlanta, GA 30312-3483
Phone: (404) 624-1230
Street-level locationGet directions
Mailing address
11 S Mill St Ste 200
New Castle, PA 16101-3680
Registry dates
- Enumerated
- 2019-05-06
- Last updated
- 2019-05-06
Frequently asked questions
- What is Professional Dental Alliance of Atlanta Boulevard Se, LLC's NPI number?
- Professional Dental Alliance of Atlanta Boulevard Se, LLC's National Provider Identifier (NPI) is 1689239675, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Dental Alliance of Atlanta Boulevard Se, LLC?
- Professional Dental Alliance of Atlanta Boulevard Se, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Professional Dental Alliance of Atlanta Boulevard Se, LLC located?
- Professional Dental Alliance of Atlanta Boulevard Se, LLC's practice location on file with NPPES is 465 Boulevard Se Ste 207a, Atlanta, GA 30312-3483.
- What is Professional Dental Alliance of Atlanta Boulevard Se, LLC's phone number?
- The practice phone number listed in the NPPES registry for Professional Dental Alliance of Atlanta Boulevard Se, LLC is (404) 624-1230.
- Who is the authorized official for Professional Dental Alliance of Atlanta Boulevard Se, LLC?
- The authorized official listed on Professional Dental Alliance of Atlanta Boulevard Se, LLC's NPPES record is Lauren Howard, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Dental Alliance of Atlanta Boulevard Se, LLC's NPI active?
- Yes — Professional Dental Alliance of Atlanta Boulevard Se, LLC's NPI (1689239675) is active in the NPPES registry as of the last update on 2019-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.