Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609751346 Individual Practitioner Female Practitioner

Dr. Emily Caroline Medendorp , DMD

Dentist - General Practice • Stockbridge, GA

Professional Overview & Biography Verified Profile Summary

Dr. Emily Medendorp, DMD is a registered healthcare professional specializing in Dentist - General Practice in Stockbridge, GA. Practice services are available at 330 CORPORATE CENTER CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

330 Corporate Center Ct

Stockbridge, GA 302816360

Telephone 7709012492
Associated Practice Facility / Clinic
🏢 Stockbridge Dental Group Facility NPI 1528107943

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Stockbridge, GA

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

Practicing in Stockbridge, 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: 2025-08-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN123920

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

1 Associated Practitioners
Sora Kim

Dentist - General Practice

NPI 1164622635

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 11, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2025

Registered at 330 CORPORATE CENTER CT, STOCKBRIDGE, GA 302816360 (Tel: 7709012492)

📍
Updated Business Mailing Address August 11, 2025

Registered at 2344 HAVENRIDGE DR NW, ATLANTA, GA 303054073 (Tel: 4046066014)

👤
Provider Name / Credentials Updated August 11, 2025

Recorded as EMILY MEDENDORP, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2025

Dentist (License #DN123920 in GA)

🟢
Initial NPI Registration & Enumeration August 11, 2025

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: 1609751346
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2025
Last Update: August 11, 2025
Sole Proprietor: No

Mailing Address

2344 Havenridge Dr Nw

Atlanta, GA 303054073

Phone: 4046066014

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.