Healthcare Provider Details

I. General information

NPI: 1003548868
Provider Name (Legal Business Name): NIARIAH HOPE FIELDS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2022
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3666 HIGHWAY 5 STE 102
DOUGLASVILLE GA
30135-6940
US

IV. Provider business mailing address

2682 TOUCAN WAY SW
ATLANTA GA
30331-3143
US

V. Phone/Fax

Practice location:
  • Phone: 404-564-7749
  • Fax:
Mailing address:
  • Phone: 305-761-5269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN122826
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: