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BGW DENTAL GROUP
NPI 1063904076
Dentist - General Practice in Braselton, GA

Active since June 05, 2018
1205 FRIENDSHIP ROAD, BRASELTON, GA 30517(770) 532-4555(770) 536-8053 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bgw Dental Group NPPES

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

BGW DENTAL GROUP (NPI 1063904076) is a healthcare organization registered as a general practice in Braselton, Georgia and active in the NPI registry since June 2018. The organization lists Ann Sorensen, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1063904076
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTHEAST GEORGIA DENTAL GROUP
Location Address1205 FRIENDSHIP ROADBraselton, GA 30517
Mailing Address1215 Vine St NeGainesville, GA 30501-2535 · (770) 532-4555 · Fax (770) 536-8053
Phone(770) 532-4555
Fax(770) 536-8053
Organization SubpartNo
Authorized OfficialAnn SorensenDirector Of Operations · (770) 532-4555
Enumeration DateJune 5, 2018
✔ NPI 1063904076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1205 FRIENDSHIP ROAD, Braselton, GA 30517
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Other Names 1

Doing Business AsBgw Dental Group

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

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 1063904076. It was assigned to this organization in the NPPES registry on June 5, 2018. The provider is doing business as Bgw Dental Group.

Where is Northeast Georgia Dental Group located?

Northeast Georgia Dental Group is located at 1205 Friendship Road, Braselton, GA 30517. 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 June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.