OrganizationActive
Parkside Dental Practice
NPI 1881017085 · Health Maintenance Organization · Peachtree City, GA
Provider details
- NPI number
- 1881017085
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Lori Parks, Front Office(770) 487-8882
- License
- 8697 (GA)
Specialties & taxonomies
Managed Care Organizations
Practice location
410 Stevens Entry
Peachtree City, GA 30269-4050
Phone: (770) 487-8882
Fax: (770) 486-9469
Approximate (ZIP-level) locationGet directions
Mailing address
410 Stevens Entry
Peachtree City, GA 30269-4050
Registry dates
- Enumerated
- 2014-01-24
- Last updated
- 2014-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.