ADVANCED ATHENS DENTISTRY PC NPI 1760904569

NPI Information

  • NPI: 1760904569
  • Provider Name: ADVANCED ATHENS DENTISTRY, PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: ADVANCED DENTISTRY OF ATHENS
  • Address: 1155 CEDAR SHOALS DR
    ATHENS, GA
    ZIP 30605
  • Phone: (706) 546-8720

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NPI Details

ADVANCED ATHENS DENTISTRY, PC is a dental clinic center in Athens, GA. ADVANCED ATHENS DENTISTRY, PC NPI is 1760904569. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Dentistry Of Athens.

The provider's business location address is:

1155 CEDAR SHOALS DR
ATHENS, GA
ZIP 30605-592
Phone: (706) 546-8720

The provider's authorized official is Jill S Ledbetter .
The authorized official title is Treasurer and has the following contact phone number (404) 695-0428.

The enumeration date for this NPI number is 7/13/2017 and was last updated on 7/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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