Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104762905 Individual Practitioner Female Practitioner

Shea Sera

Dentist - General Practice • Decatur, GA

Professional Overview & Biography Verified Profile Summary

Shea Sera is a registered healthcare professional specializing in Dentist - General Practice in Decatur, GA. Practice services are available at 2570 BLACKMON DR STE 310 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2570 Blackmon Dr Ste 310

Decatur, GA 300336197

Telephone 6782033462
Associated Practice Facility / Clinic
🏢 North Decatur Dentistry, Pc Facility NPI 1154868917

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Decatur, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
81 Specialists

Practicing in Decatur, 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

CMS Verified: 2026-07-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN124232

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

3 Associated Practitioners
NPI 1336907534
Dr. Anisa Alam , DMD

Dentist - General Practice

NPI 1386429728

Doctor of Dental Medicine

Ye Eun Choi

Dentist - General Practice

NPI 1740766443

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2026

Dentist (License #DN124232 in GA)

NPI Profile Active April 25, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2026

Registered at 2570 BLACKMON DR STE 310, DECATUR, GA 300336197 (Tel: 6782033462)

📍
Updated Business Mailing Address April 25, 2026

Registered at PO BOX 5006, KAHULUI, HI 967335006 (Tel: 8082815943)

👤
Provider Name / Credentials Updated April 25, 2026

Recorded as SHEA SERA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2026

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 25, 2026

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: 1104762905
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2026
Last Update: July 17, 2026
Sole Proprietor: No

Mailing Address

Po Box 5006

Kahului, HI 967335006

Phone: 8082815943

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.