Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689749657 Individual Practitioner Male Practitioner

Dr. Peter D. Boulden , DMD

Dentist - General Practice • Roswell, GA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Boulden, DMD is a registered healthcare professional specializing in Dentist - General Practice in Roswell, GA. Practice services are available at 1875 OLD ALABAMA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1875 Old Alabama Rd
Suite 130

Roswell, GA 300762201

Telephone 7709983838
Fax 7709983865
Associated Practice Facility / Clinic
🏢 Trans Alliance Lab Facility NPI 1356527709

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Roswell, GA

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

Practicing in Roswell, 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 DN012542

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
Lacey Cooper , RDH

Dental Hygienist

NPI 1073134276

Registered Dental Hygienist

Dr. Matthew Yeung , DDS

Dentist - General Practice

NPI 1124585757

Doctor of Dental Surgery

NPI 1922605237

Registered Dental Hygienist, CDA, EFDA

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 1875 OLD ALABAMA RD, SUITE 130, ROSWELL, GA 300762201 (Tel: 7709983838)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1875 OLD ALABAMA RD, SUITE 130, ROSWELL, GA 300762201 (Tel: 7709983838)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER BOULDEN, D.M.D.

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

Dentist (License #DN012542 in GA)

🟢
Initial NPI Registration & Enumeration November 22, 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: 1689749657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1875 Old Alabama Rd, Suite 130

Roswell, GA 300762201

Phone: 7709983838

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.