Healthcare Provider Details

I. General information

NPI: 1285250951
Provider Name (Legal Business Name): AALEEYAH PRINGLE DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2020
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2795 LEE RD
LITHIA SPRINGS GA
30122-3358
US

IV. Provider business mailing address

2795 LEE RD
LITHIA SPRINGS GA
30122-3358
US

V. Phone/Fax

Practice location:
  • Phone: 470-750-1330
  • Fax:
Mailing address:
  • Phone: 470-750-1330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN124101
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019.032579
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number18474
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: