# RSS MICHAEL DIERKES 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:** 1720595994
- **Authorized official:** MICHAEL DIERKES (OWNER)
- **Authorized official phone:** (817) 405-7470

## Contact information

- **Practice address:** 4920 ROSWELL RD STE 255, ATLANTA, GA 30342-2686
- **Practice address phone:** (844) 859-2525
- **Mailing address:** 1050 TEXAN TRL STE 300, GRAPEVINE, TX 76051-3759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DN009675 | GA | Yes |

## Other

- **Enumeration date:** 01/09/2018
- **Last updated:** 01/27/2019