Jacqueline Delash, DMD, MBA, MPH

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014990 Issued in GA

Practice address

1235 Robinson Rd Ste H
Peachtree City, GA 30269-3832

Phone

(770) 487-1880

Fax

(770) 487-1851

NPI assigned

Jul 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bird Kind LLC

  • General Practice Dentistry
  • Peachtree City, GA
  • NPI 1982566360
  NPD Authorized official
• Magnolia Lane Ga Partners LLC

  • General Practice Dentistry
  • Peachtree City, GA
  • NPI 1194542928
  NPD Authorized official
• Tara a Fogle, D.M.D, P.C.

  • General Practice Dentistry
  • Fayetteville, GA
  • NPI 1841889342
  NPD (past)

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1275916728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 ROBINSON RD STE H",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693832",
            "telephone_number": "770-487-1880",
            "fax_number": "770-487-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 ROBINSON RD STE H",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693832",
            "telephone_number": "770-487-1880",
            "fax_number": "770-487-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELASH",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "DMD, MBA, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014990",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reva Lychelle Davis
• Stuart Paul Davis, MD
• Katarina Michelle Day
• Lisa Marie Deboer, OTR/L
• Paige Dee, LPC
• Dentistry for Children of Peachtree City, LLC
• James M Desantis, M.D.
• Kathryn Duke Desgain, RPH
• Develop-Mental Support Services
• Nikita Dewitt, LPC

• General Practice Dentistry in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.