S23 of Georgia, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

S23 OF GEORGIA, LLC

Doing business as

Dental Specialists of Buckhead

Practice address

3280 Howell Mill Rd NW Ste 331
Atlanta, GA 30327-4109

Phone

(404) 261-9593

NPI assigned

Mar 10, 2026

Organization subpart

Yes

Parent organization

S23 OF GEORGIA, LLCAs reported in NPPES

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

Authorized official

Name

Dewonna Lewis

Title

Regional Manager

Phone

(404) 246-9567

Specialties & licenses 1

Addresses

Other names 1

• Dental Specialists of Buckhead Doing business as

Tax ID family

S23 of Georgia LLC3 organizations share this tax ID, including this one

Part of

S23 of Georgia LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• S23 of Georgia, LLC

  • Dentist
  • Atlanta, GA
  • NPI 1386590487
  NPD tax ID
• S23 of Georgia, LLC

  • Dentist
  • Atlanta, GA
  • NPI 1578415113
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• S23 of Georgia, LLC

  • Dentist
  • Atlanta, GA
  • NPI 1578415113
  NPPES parent name

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1417803529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE 331",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274109",
            "telephone_number": "404-261-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE 331",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274109",
            "telephone_number": "404-261-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S23 OF GEORGIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "S23 OF GEORGIA, LLC",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DEWONNA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "404-246-9567"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Specialists of Buckhead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.