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Deactivated NPI 1669573473 Deactivated / Inactive NPI Male Practitioner

Robert Berlin

Dentist - General Practice • Mableton, 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, Robert Berlin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 26, 2006
NPI Deactivation Date April 23, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Robert Berlin was a registered Dentist - General Practice practicing in Mableton, GA. Throughout an active medical career spanning 20 years, Robert Berlin provided care at the practice location at 4875 FLOYD RD SW until profile deactivation on 2026-04-23.

Practice Location & Contact Primary Location

Practice Address

4875 Floyd Rd Sw
Suite 113

Mableton, GA 301261379

Telephone 7707320900
Associated Practice Facility / Clinic
🏢 The Kroger Co Facility NPI 1033143888

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mableton, GA

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

Practicing in Mableton, 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 DN006503

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 1083074355

Doctor of Dental Surgery

NPI 1104073493

Doctor of Dental Medicine

Lawrence Cohen

Dentist - General Practice

NPI 1881790301

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 April 23, 2026

Record deactivated on April 23, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4875 FLOYD RD SW, SUITE 113, MABLETON, GA 301261379 (Tel: 7707320900)

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Updated Business Mailing Address July 08, 2007

Registered at 2502 N ROCKY POINT DR, SUITE 1000-CREDENTIALING, TAMPA, FL 336071421

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT BERLIN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN006503 in GA)

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Initial NPI Registration & Enumeration September 26, 2006

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: 1669573473
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: July 08, 2007
Deactivation Date: April 23, 2026

Mailing Address

2502 N Rocky Point Dr, Suite 1000-Credentialing

Tampa, FL 336071421

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.