Organization Active NPI

Dental Center of Atlanta, PDP, LLC Robert Pauley

  • Dental Clinic/Center
  • Union City, GA
National Provider Identifier
1548120967
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL CENTER OF ATLANTA, PDP, LLC ROBERT PAULEY
Practice address
6520 Shannon Pkwy Ste B
Union City, GA 30291-2134
Phone
(770) 964-1469
NPI assigned
Nov 17, 2025
Organization subpart
Yes
Parent organization
DENTAL CENTER OF ATLANTA, PDP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Heather Taylor
Title
Director of Business Operations
Phone
(470) 309-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6520 Shannon Pkwy Ste B
Union City, GA 30291-2134

Mailing address

6520 Shannon Pkwy Ste B
Union City, GA 30291-2134
Phone (770) 964-1469

National Provider Directory

National Provider Directory
Part of
Dental Center of Atlanta PDP LLC Robert Pauley

Locations

6520 Shannon Pkwy
Ste B
Union City, GA 30291
Phone (770) 964-1469

NPI Registry JSON

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1548120967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 SHANNON PKWY STE B",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912134",
            "telephone_number": "770-964-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 SHANNON PKWY STE B",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912134",
            "telephone_number": "770-964-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CENTER OF ATLANTA, PDP, LLC ROBERT PAULEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL CENTER OF ATLANTA, PDP, LLC",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "470-309-8888"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.