OrganizationActive
Mouthpeace Dental 4, LLC
NPI 1811516479 · Dental Clinic/Center · Forest Park, GA
Mouthpeace Dental 4, LLC is a Dental Clinic/Center organization in Forest Park, GA (NPI 1811516479).
Provider details
- NPI number
- 1811516479
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Syretta Wells, Owner /Dentist(312) 371-1423
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
541 Forest Pkwy Ste 18
Forest Park, GA 30297-6110
Phone: (404) 228-6801
Street-level locationGet directions
Mailing address
2149 Brannen Rd Se
Atlanta, GA 30316-4117
Other names (DBA / former)
- Doing business as
- Mouthpeace Dental
Registry dates
- Enumerated
- 2020-04-14
- Last updated
- 2020-04-14
- Certified
- 2020-04-14
Frequently asked questions
- What is Mouthpeace Dental 4, LLC's NPI number?
- Mouthpeace Dental 4, LLC's National Provider Identifier (NPI) is 1811516479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mouthpeace Dental 4, LLC?
- Mouthpeace Dental 4, LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mouthpeace Dental 4, LLC located?
- Mouthpeace Dental 4, LLC's practice location on file with NPPES is 541 Forest Pkwy Ste 18, Forest Park, GA 30297-6110.
- What is Mouthpeace Dental 4, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mouthpeace Dental 4, LLC is (404) 228-6801.
- Who is the authorized official for Mouthpeace Dental 4, LLC?
- The authorized official listed on Mouthpeace Dental 4, LLC's NPPES record is Syretta Wells, Owner /Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mouthpeace Dental 4, LLC's NPI active?
- Yes — Mouthpeace Dental 4, LLC's NPI (1811516479) is active in the NPPES registry as of the last update on 2020-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.