Healthcare Provider Details

I. General information

NPI: 1366549875
Provider Name (Legal Business Name): DENTFIRST PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 HAMMOND DRIVE
ATLANTA GA
30328
US

IV. Provider business mailing address

1650 OAKBROOK DRIVE SUITE 440
NORCROSS GA
30093
US

V. Phone/Fax

Practice location:
  • Phone: 770-433-1000
  • Fax:
Mailing address:
  • Phone: 770-446-8000
  • Fax: 770-446-8000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN JOHN DOWD
Title or Position: VP
Credential:
Phone: 770-446-8000