Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174674931 Individual Practitioner Male Practitioner

Michael Dieter Pellegrinon

Dentist - General Practice • Norcross, GA

Professional Overview & Biography Verified Profile Summary

Michael Pellegrinon is a registered healthcare professional specializing in Dentist - General Practice in Norcross, GA. Practice services are available at 6060 MCDONOUGH DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6060 Mcdonough Drive
Suite I

Norcross, GA 30093

Telephone 7704483030
Fax 7704474906
Associated Practice Facility / Clinic
🏢 Dentfirst Pc Facility NPI 1417052259

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Norcross, GA

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

Practicing in Norcross, 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 DN10733

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

6 Associated Practitioners
Dr. Raymon Allison , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1477699510

Doctor of Dental Surgery

Dr. William Galvin , DDS

Dentist - General Practice

NPI 1497811046

Doctor of Dental Surgery

Dr. Richard Musicer , DDS

Dentist - General Practice

NPI 1538226857

Doctor of Dental Surgery

Dr. Bettzad Aliassa , DMD

Dentist - General Practice

NPI 1568523272

Doctor of Dental Medicine

Dr. Orson Baek , DDS MS

Dentist - Periodontics

NPI 1902968506

DDSMS

Dr. Lauren Abes , DMD

Dentist - General Practice

NPI 1942351705

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 6060 MCDONOUGH DRIVE, SUITE I, NORCROSS, GA 30093 (Tel: 7704483030)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1650 OAK BROOK DRIVE, SUITE 440, NORCROSS, GA 30093 (Tel: 7704468000)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL PELLEGRINON

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

Dentist (License #DN10733 in GA)

🟢
Initial NPI Registration & Enumeration January 16, 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: 1174674931
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1650 Oak Brook Drive, Suite 440

Norcross, GA 30093

Phone: 7704468000

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.