Organization Active NPI

Alpharetta Periodontics & Dental Implants

  • Dental Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1730983941
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALPHARETTA PERIODONTICS & DENTAL IMPLANTS
Practice address
3400A Old Milton Pkwy Ste 460
Alpharetta, GA 30005-4438
Phone
(770) 410-7565
NPI assigned
Apr 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Casey Castle
Title
Director of Payor Contracts
Phone
(912) 732-1504

Specialties & licenses 1

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

Addresses

Primary practice location

3400A Old Milton Pkwy Ste 460
Alpharetta, GA 30005-4438

Mailing address

3400A Old Milton Pkwy Ste 460
Alpharetta, GA 30005-4438
Phone (770) 410-7565

National Provider Directory

National Provider Directory

Locations

3400 Old Milton Pkwy
Ste 460
Alpharetta, GA 30005
Phone (443) 844-2330

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1730983941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400A OLD MILTON PKWY STE 460",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054438",
            "telephone_number": "770-410-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400A OLD MILTON PKWY STE 460",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054438",
            "telephone_number": "770-410-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHARETTA PERIODONTICS & DENTAL IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR CONTRACTS",
        "authorized_official_telephone_number": "912-732-1504"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.