Individual provider Active NPI

Sidney Li, DDS

  • General Practice Dentistry
  • Johns Creek, GA
National Provider Identifier
1093633281
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN124237 Issued in GA
Practice address
6290 Abbotts Bridge Rd Ste 101
Johns Creek, GA 30097-1750
Phone
(770) 418-1771
NPI assigned
Jul 7, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN124237 GA Primary

Addresses

Primary practice location

6290 Abbotts Bridge Rd Ste 101
Johns Creek, GA 30097-1750

Mailing address

11130 Medlock Bridge Rd Apt 1126
Johns Creek, GA 30097-8503
Phone (513) 649-7462

Other practice location 1

248 Arrowhead Blvd
Jonesboro, GA 30236-1106
Phone (404) 882-7629

Other practice location 2

197 14th St NW Ste 101
Atlanta, GA 30318-7815
Phone (404) 991-5758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1093633281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 MEDLOCK BRIDGE RD APT 1126",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978503",
            "telephone_number": "513-649-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 ABBOTTS BRIDGE RD STE 101",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971750",
            "telephone_number": "770-418-1771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "248 Arrowhead Blvd",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "GA",
            "postal_code": "302361106",
            "country_code": "US",
            "telephone_number": "404-882-7629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "197 14th St NW Ste 101",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303187815",
            "country_code": "US",
            "telephone_number": "404-991-5758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "SIDNEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN124237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.