NORTHEAST GEORGIA DENTAL GROUP
NPI 1013121359
Dentist - General Practice in Gainesville, GA

Active since May 09, 2007
1200 SHERWOOD PARK DR NE, GAINESVILLE, GA 30501(770) 532-4555 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northeast Georgia Dental Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST GEORGIA DENTAL GROUP (NPI 1013121359) is a healthcare organization registered as a general practice in Gainesville, Georgia and active in the NPI registry since May 2007. The organization lists Richard G. Bennett, Owner, as its authorized official.

NPPES Registry Identity

NPI1013121359
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTHEAST GEORGIA DENTAL GROUP
Location Address1200 SHERWOOD PARK DR NEGainesville, GA 30501-3445
Mailing Address1200 Sherwood Park Dr NeGainesville, GA 30501-3445 · (770) 532-4555
Organization SubpartNo
Authorized OfficialRichard G. BennettOwner · (770) 532-4555
Enumeration DateMay 9, 2007
Last NPPES UpdateOctober 19, 2011
NPI 1013121359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN011850
Definition

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.

1200 SHERWOOD PARK DR NE, Gainesville, GA 30501

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1200 SHERWOOD PARK DR NE
GAINESVILLE, GA 30501
Dentist (General Practice)
1200 SHERWOOD PARK DR NE
GAINESVILLE, GA 30501
Clinic/Center (Dental)
1200 SHERWOOD PARK DR NE
GAINESVILLE, GA 30501
Dentist (General Practice)
1200 SHERWOOD PARK DR NE
GAINESVILLE, GA 30501
Dentist (General Practice)
1200 SHERWOOD PARK DR NE
GAINESVILLE, GA 30501
Dentist (General Practice)
1200 SHERWOOD PARK DR NE
GAINESVILLE, GA 30501
Behavior Technician
1200 SHERWOOD PARK DR NE
GAINESVILLE, GA 30501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Georgia Dental Group's NPI number?

The NPI number for Northeast Georgia Dental Group is 1013121359. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Northeast Georgia Dental Group located?

Northeast Georgia Dental Group is located at 1200 Sherwood Park Dr NE, Gainesville, GA 30501. The listed phone number is (770) 532-4555.

What is Northeast Georgia Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Northeast Georgia Dental Group was last updated on October 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.