OrganizationActive
Innovative Smiles at the Forum PC
NPI 1861403552 · Dentist · Norcross, GA
Innovative Smiles at the Forum PC is a Dentist organization in Norcross, GA (NPI 1861403552).
Provider details
- NPI number
- 1861403552
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Philip Talley, Dentist Owner(770) 368-1110
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
5185 Peachtree Pkwy
Bldg 1200 Ste 201
Norcross, GA 30092
Phone: (770) 368-1110
Fax: (770) 368-1114
Street-level locationGet directions
Mailing address
5185 Peachtree Pkwy
Norcross, GA 30092
Other names (DBA / former)
- Other name
- Second Facility Opened
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2020-08-22
Frequently asked questions
- What is Innovative Smiles at the Forum PC's NPI number?
- Innovative Smiles at the Forum PC's National Provider Identifier (NPI) is 1861403552, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Smiles at the Forum PC?
- Innovative Smiles at the Forum PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Innovative Smiles at the Forum PC located?
- Innovative Smiles at the Forum PC's practice location on file with NPPES is 5185 Peachtree Pkwy, Norcross, GA 30092.
- What is Innovative Smiles at the Forum PC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Smiles at the Forum PC is (770) 368-1110.
- Who is the authorized official for Innovative Smiles at the Forum PC?
- The authorized official listed on Innovative Smiles at the Forum PC's NPPES record is Philip Talley, Dentist Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Smiles at the Forum PC's NPI active?
- Yes — Innovative Smiles at the Forum PC's NPI (1861403552) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.