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Deactivated NPI 1083738553 Deactivated / Inactive NPI Male Practitioner

Dr. Albert Leroy Evatt , DDS

Dentist - General Practice • Tucker, 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, Dr. Albert Evatt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 19, 2007
NPI Deactivation Date August 17, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Albert Evatt, DDS was a registered Dentist - General Practice practicing in Tucker, GA. Throughout an active medical career spanning 13 years, Dr. Evatt provided care at the practice location at 2260 NORTHLAKE PKWY until profile deactivation on 2020-08-17.

Practice Location & Contact Primary Location

Practice Address

2260 Northlake Pkwy
Suite 220

Tucker, GA 300844036

Telephone 7704920250
Fax 7704920750
Associated Practice Facility / Clinic
🏢 Speech Spa, Llc. Facility NPI 1306241450

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tucker, GA

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

Practicing in Tucker, 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 6736

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

2 Associated Practitioners
NPI 1386861904

Doctor of Dental Medicine

NPI 1831272376

Doctor of Dental Surgery

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 August 17, 2020

Record deactivated on August 17, 2020

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 2260 NORTHLAKE PKWY, SUITE 220, TUCKER, GA 300844036 (Tel: 7704920250)

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Updated Business Mailing Address July 08, 2007

Registered at 2260 NORTHLAKE PKWY, SUITE 220, TUCKER, GA 300844036 (Tel: 7704920250)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ALBERT EVATT, D.D.S.

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

Dentist (License #6736 in GA)

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Initial NPI Registration & Enumeration March 19, 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: 1083738553
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2007
Last Update: July 08, 2007
Deactivation Date: August 17, 2020

Mailing Address

2260 Northlake Pkwy, Suite 220

Tucker, GA 300844036

Phone: 7704920250

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.