Organization Active NPI

Atlanta Emergency Dentist LLC

  • General Practice Dentistry
  • Decatur, GA
National Provider Identifier
1730024415
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ATLANTA EMERGENCY DENTIST LLC
Practice address
1275 McConnell Dr Ste G
Decatur, GA 30033-3505
Phone
(925) 457-6881
NPI assigned
Apr 21, 2026
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Danny NguyenNPI 1063079424
Title
Dentist
Phone
(925) 457-6881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1275 McConnell Dr Ste G
Decatur, GA 30033-3505

Mailing address

1275 McConnell Dr Ste G
Decatur, GA 30033-3505

National Provider Directory

National Provider Directory

Locations

1275 McConnell Dr
Ste G
Decatur, GA 30033
Phone (925) 457-6881

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1730024415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 MCCONNELL DR STE G",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 MCCONNELL DR STE G",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333505",
            "telephone_number": "925-457-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA EMERGENCY DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "925-457-6881"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.