Provider Demographics
NPI:1598587982
Name:INSPIRE DENTAL, PDP, LLC
Entity type:Organization
Organization Name:INSPIRE DENTAL, PDP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-733-0857
Mailing Address - Street 1:7000 PEACHTREE DUNWOODY RD
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-1655
Mailing Address - Country:US
Mailing Address - Phone:770-828-0000
Mailing Address - Fax:
Practice Address - Street 1:7000 PEACHTREE DUNWOODY RD
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-1655
Practice Address - Country:US
Practice Address - Phone:770-828-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty