EDELWEISS PD, LLC
NPI 1104651900
Clinic/Center - Dental in Watkinsville, GA

Q: What is Edelweiss Pd, LLC's NPI number?

The NPI number for Edelweiss Pd, LLC is 1104651900. It was assigned to this organization in the NPPES registry on September 3, 2024. The provider is doing business as Healthy Smiles.

Q: What is Edelweiss Pd, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Q: When was this NPI record last updated?

The NPPES record for Edelweiss Pd, LLC was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since September 03, 2024

1360 CADUCEUS WAY STE 103, WATKINSVILLE, GA 30677(706) 548-7373 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Edelweiss Pd, Llc NPPES

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

EDELWEISS PD, LLC (NPI 1104651900), doing business as Healthy Smiles, is a healthcare organization registered as a dental in Watkinsville, Georgia and active in the NPI registry since September 2024. The organization lists Brian Jock, Owner, as its authorized official.

NPPES Registry Identity

NPI1104651900

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameEDELWEISS PD, LLC

Location Address1360 CADUCEUS WAY STE 103Watkinsville, GA 30677-7300

Mailing Address1360 Caduceus Way Ste 103Watkinsville, GA 30677-7300 · (706) 548-7373

Phone(706) 548-7373

Organization SubpartNo

Authorized OfficialBrian JockOwner · (706) 548-7373

Enumeration DateSeptember 3, 2024

NPPES CertifiedSeptember 3, 2024

✔ NPI 1104651900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

1360 CADUCEUS WAY STE 103, Watkinsville, GA 30677

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Other Names 1

Doing Business AsHealthy Smiles

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 Edelweiss Pd, LLC's NPI number?

The NPI number for Edelweiss Pd, LLC is 1104651900. It was assigned to this organization in the NPPES registry on September 3, 2024. The provider is doing business as Healthy Smiles.

Where is Edelweiss Pd, LLC located?

Edelweiss Pd, LLC is located at 1360 Caduceus Way Ste 103, Watkinsville, GA 30677. The listed phone number is (706) 548-7373.

What is Edelweiss Pd, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Edelweiss Pd, LLC was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.