PROFESSIONAL DENTAL ALLIANCE OF ATHENS, LLC
NPI 1174097802
Dentist in Athens, GA

Q: What is Professional Dental Alliance Of Athens, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since January 16, 2019

1155 CEDAR SHOALS DR, ATHENS, GA 30605(706) 546-8720 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Professional Dental Alliance Of Athens, Llc NPPES

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

PROFESSIONAL DENTAL ALLIANCE OF ATHENS, LLC (NPI 1174097802) is a healthcare organization registered as a dentist in Athens, Georgia and active in the NPI registry since January 2019. The organization lists Ashley Hamilton, Revenue Cycle Support Specialist, as its authorized official.

NPPES Registry Identity

NPI1174097802

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF ATHENS, LLC

Location Address1155 CEDAR SHOALS DRAthens, GA 30605-3592

Mailing Address125 Enterprise Dr Ste 200Pittsburgh, PA 15275-1223 · (724) 698-2064

Phone(706) 546-8720

Organization SubpartNo

Authorized OfficialAshley HamiltonRevenue Cycle Support Specialist · (724) 698-2064

Enumeration DateJanuary 16, 2019

Last NPPES UpdateFebruary 22, 2024

NPPES CertifiedFebruary 22, 2024

✔ NPI 1174097802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1155 CEDAR SHOALS DR, Athens, GA 30605

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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 2

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

JAMES BENJAMIN PATRICK DMD

Dentist (General Practice)

1155 CEDAR SHOALS DR
ATHENS, GA 30605

Clarke County (706) 546-8720

ADVANCED ATHENS DENTISTRY, PC

Clinic/Center (Dental)

1155 CEDAR SHOALS DR
ATHENS, GA 30605

Clarke County (706) 546-8720

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 Professional Dental Alliance Of Athens, LLC's NPI number?

The NPI number for Professional Dental Alliance Of Athens, LLC is 1174097802. It was assigned to this organization in the NPPES registry on January 16, 2019.

Where is Professional Dental Alliance Of Athens, LLC located?

Professional Dental Alliance Of Athens, LLC is located at 1155 Cedar Shoals Dr, Athens, GA 30605. The listed phone number is (706) 546-8720.

What is Professional Dental Alliance Of Athens, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Professional Dental Alliance Of Athens, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Professional Dental Alliance Of Athens, 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 Professional Dental Alliance Of Athens, LLC was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.