Individual provider Active NPI

Dalton Sircy, DMD

  • General Practice Dentistry
  • Brookhaven, GA
National Provider Identifier
1548008477
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN123445 Issued in GA
Practice address
1441 Dresden Dr NE Ste 250
Brookhaven, GA 30319-3585
Phone
(404) 254-1128
NPI assigned
Jul 16, 2024
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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 DN123445 GA Primary

Addresses

Primary practice location

1441 Dresden Dr NE Ste 250
Brookhaven, GA 30319-3585

Mailing address

6544 Beacon Dr
Sandy Springs, GA 30328-2983

Other practice location 1

205 Waleska Rd Ste 2A
Canton, GA 30114-2493
Phone (770) 479-3713

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

State licenses

LicenseStateTypeSpecialty
DN123445GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
McNumb Dental PC General Practice CurrentSince Aug 3, 2025 Accepting new patients
Swords and Phelps General Practice PastSince Jul 1, 2024 Accepting new patients

Locations

1441 Dresden Dr NE
Ste 250
Brookhaven, GA 30319
Phone (404) 254-1128

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1548008477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6544 BEACON DR",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303282983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 DRESDEN DR NE STE 250",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193585",
            "telephone_number": "404-254-1128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Waleska Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301142493",
            "country_code": "US",
            "telephone_number": "770-479-3713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIRCY",
        "first_name": "DALTON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-16",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.