Provider Demographics
NPI:1780475616
Name:A1 DENTAL
Entity type:Organization
Organization Name:A1 DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LIUDMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:POZNYAK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:470-680-1030
Mailing Address - Street 1:4044 F A A RD
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-5496
Mailing Address - Country:US
Mailing Address - Phone:470-680-1030
Mailing Address - Fax:470-680-1033
Practice Address - Street 1:1580 MARKET PLACE BLVD
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7926
Practice Address - Country:US
Practice Address - Phone:470-680-1030
Practice Address - Fax:470-680-1033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental