Active NPI
Tiana Piscitelli, DMD
- Pediatric Dentistry
- Marietta, GA
National Provider Identifier
1346932613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN123778.
- Practice address
- 3698 Largent Way NW Ste 201
Marietta, GA 30064-5923 - Phone
- (770) 420-6565
- NPI assigned
- May 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 13839 | CT | |
| Pediatric Dentistry | 1223P0221X | DN123778. | GA | Primary |
Addresses
Primary practice location
3698 Largent Way NW Ste 201
Marietta, GA 30064-5923
Mailing address
40 Royal Oak Dr
West Hartford, CT 06107-3121
Other practice location 1
141 Lacy St NW Ste 150
Marietta, GA 30060-1213
Phone (770) 485-1492
Other practice location 2
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-2000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN123778. | GA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1346932613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ROYAL OAK DR",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061073121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3698 LARGENT WAY NW STE 201",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300645923",
"telephone_number": "770-420-6565"
}
],
"practiceLocations": [
{
"address_1": "141 Lacy St NW Ste 150",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300601213",
"country_code": "US",
"telephone_number": "770-485-1492",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "263 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060300001",
"country_code": "US",
"telephone_number": "860-679-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PISCITELLI",
"first_name": "TIANA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-24",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": "13839",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "DN123778.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.