Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1902952328 Deactivated / Inactive NPI Male Practitioner

Dr. Steven Dale Lyzenga , DDS

Dentist - General Practice • Atlanta, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Steven Lyzenga has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 26, 2007
NPI Deactivation Date June 04, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Steven Lyzenga, DDS was a registered Dentist - General Practice practicing in Atlanta, GA. Throughout an active medical career spanning 13 years, Dr. Lyzenga provided care at the practice location at 424 DECATUR ST SE until profile deactivation on 2020-06-04.

Practice Location & Contact Primary Location

Practice Address

424 Decatur St Se

Atlanta, GA 303121848

Telephone 6788438600
Fax 6788438601
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
383 Specialists

Practicing in Atlanta, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN011142

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Astrid Rozo-Rivera , FNP

Nurse Practitioner - Family

NPI 1033494349

Family Nurse Practitioner

Regina Wiley

Nurse Practitioner - Psychiatric/Mental Health

NPI 1083488167
NPI 1114484904
NPI 1174612782

Doctor of Dental Surgery

Maiko Noiri-Schoen , LMSW

Social Worker - Clinical

NPI 1184892226

Licensed Master Social Worker

NPI 1205021912

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 04, 2020

Record deactivated on June 04, 2020

NPI Profile Active November 07, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 07, 2011

Registered at 424 DECATUR ST SE, ATLANTA, GA 303121848 (Tel: 6788438600)

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Updated Business Mailing Address November 07, 2011

Registered at 424 DECATUR ST SE, ATLANTA, GA 303121848 (Tel: 6788438600)

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Provider Name / Credentials Updated November 07, 2011

Recorded as STEVEN LYZENGA, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2011

Dentist (License #DN011142 in GA)

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Initial NPI Registration & Enumeration January 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902952328
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2007
Last Update: November 07, 2011
Deactivation Date: June 04, 2020

Mailing Address

424 Decatur St Se

Atlanta, GA 303121848

Phone: 6788438600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.