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YOUTH DENTISTRY OF MACON
NPI 1073063228
Dentist - General Practice in Macon, GA

Active since October 12, 2016
1536 EISENHOWER PKWY, MACON, GA 31206(478) 781-4333(478) 781-4331 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2018, Oct 12, 2016 (2 updates tracked since 2016).

About Youth Dentistry Of Macon NPPES

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

YOUTH DENTISTRY OF MACON (NPI 1073063228) is a healthcare organization registered as a general practice in Macon, Georgia and active in the NPI registry since October 2016. The organization lists Linda Susan Zoeller, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1073063228
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEISENHOWER PARKWAY DENTAL GROUP, LLC
Location Address1536 EISENHOWER PKWYMacon, GA 31206
Mailing Address401 Church St Ste 2210Nashville, TN 37219-2204 · (615) 988-2627 · Fax (631) 857-7860
Phone(478) 781-4333
Fax(478) 781-4331
Organization SubpartNo
Authorized OfficialLinda Susan ZoellerAuthorized Official · (615) 988-2627
Enumeration DateOctober 12, 2016
Last NPPES UpdateJuly 5, 20182 updates tracked since enumeration
✔ NPI 1073063228 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 · DN015152
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.
1536 EISENHOWER PKWY, Macon, GA 31206
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Other Names 1

Doing Business AsYouth Dentistry Of Macon

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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.

MICHELLE S GWYN
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333
PHOEBY K LEWIS DMD
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333
KENIA Y MARMOL MENDOZA
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (305) 450-5432
ANDREA DAVIS WOOD DMD
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333
DR. TARA LYNN BROOKS DDS
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333
DR. MARTHA LORENA SANCHEZ DMD
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333
YOUTH DENTISTRY OF MACON, PC
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333

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 Eisenhower Parkway Dental Group, LLC's NPI number?

The NPI number for Eisenhower Parkway Dental Group, LLC is 1073063228. It was assigned to this organization in the NPPES registry on October 12, 2016. The provider is doing business as Youth Dentistry Of Macon.

Where is Eisenhower Parkway Dental Group, LLC located?

Eisenhower Parkway Dental Group, LLC is located at 1536 Eisenhower Pkwy, Macon, GA 31206. The listed phone number is (478) 781-4333.

What is Eisenhower Parkway Dental Group, LLC's specialty?

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

What insurance does Eisenhower Parkway Dental Group, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Eisenhower Parkway Dental Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eisenhower Parkway Dental Group, LLC was last updated on July 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.