Bolivar Luperon

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013214 Issued in GA

Practice address

1 W Court SQ Ste 325
Decatur, GA 30030-2576

Phone

(470) 568-2781

NPI assigned

Dec 18, 2006

Last updated

Oct 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Bolivar Luperon Nova Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1336202951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W COURT SQ STE 325",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302576",
            "telephone_number": "470-568-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W COURT SQ STE 325",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302576",
            "telephone_number": "470-568-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPERON",
        "first_name": "BOLIVAR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013214",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "GA",
            "license": "DN013214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOLIVAR",
            "last_name": "LUPERON NOVA",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sheldon Lunan
• Kristina L Lundberg, MD
• Glenn Arthur Lundquist, D.C.
• Carrie Lunsford, OTR/L
• Hillary Lunsford
• Barbara Kay Luttrell, APRN
• Lawrence J Lutz, MD
• Natalie Lutz
• Michelle K Lyn, PHD
• Mary Gerard Lynch, MD

• General Practice Dentistry in Decatur, GA
• Providers in Decatur, 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 Oct 13, 2025; 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.