# ATLANTA DENTURES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285384024
- **Authorized official:** DR. THOMAS L VAN GALDER DDS (DENTIST/MANAGER)
- **Authorized official phone:** (404) 805-6314

## Contact information

- **Practice address:** 361 N MARIETTA PKWY NE, MARIETTA, GA 30060-1457
- **Practice address phone:** (770) 426-0288
- **Practice address fax:** (770) 499-9961
- **Mailing address:** 361 N MARIETTA PKWY NE, MARIETTA, GA 30060-1457
- **Mailing address phone:** (770) 426-0288
- **Mailing address fax:** (770) 499-9961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2022
- **Last updated:** 01/02/2023