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BENTWATER COSMETIC AND FAMILY DENTISTRY
NPI 1154069391
Dentist - General Practice in Lithia Springs, GA

Active since May 26, 2022
351 THORNTON RD STE 101, LITHIA SPRINGS, GA 30122(770) 944-9755(770) 944-1261 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2022, May 26, 2022 (2 updates tracked since 2022).

About Bentwater Cosmetic And Family Dentistry NPPES

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

BENTWATER COSMETIC AND FAMILY DENTISTRY (NPI 1154069391) is a healthcare organization registered as a general practice in Lithia Springs, Georgia and active in the NPI registry since May 2022. The organization maintains a secondary practice location in Acworth and lists Tiffany Threlkeld, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1154069391
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBENTWATER COSMETIC AND FAMILY DENTISTRY
Location Address351 THORNTON RD STE 101Lithia Springs, GA 30122-1589
Mailing Address351 Thornton Rd Ste 101Lithia Springs, GA 30122-1589 · (770) 944-9755 · Fax (770) 944-1261
Phone(770) 944-9755
Fax(770) 944-1261
Organization SubpartNo
Authorized OfficialTiffany ThrelkeldBusiness Manager · (678) 499-3514
Enumeration DateMay 26, 2022
Last NPPES UpdateJuly 27, 20222 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
✔ NPI 1154069391 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.
351 THORNTON RD STE 101, Lithia Springs, GA 30122
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Secondary Practice Location 1

Location 13742 Cedarcrest rd, B104Acworth, GA 30101 · Phone (770) 944-9755

Other Identifiers 1

OtherDN011428GA · Dental License Number

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

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

LITHIA SPRINGS COSMETIC AND FAMILY DENTISTRY P.C.
Dentist (General Practice)
351 THORNTON RD STE 101
LITHIA SPRINGS, GA 30122
Douglas County (770) 944-9755

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 Bentwater Cosmetic And Family Dentistry's NPI number?

The NPI number for Bentwater Cosmetic And Family Dentistry is 1154069391. It was assigned to this organization in the NPPES registry on May 26, 2022.

Where is Bentwater Cosmetic And Family Dentistry located?

Bentwater Cosmetic And Family Dentistry is located at 351 Thornton Rd Ste 101, Lithia Springs, GA 30122. The listed phone number is (770) 944-9755.

What is Bentwater Cosmetic And Family Dentistry'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 Bentwater Cosmetic And Family Dentistry was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.