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GA SOUTHERN DENTAL PPO
NPI 1215891049
Dentist in Columbus, GA

Active since December 15, 2025
7407 N LAKE LOOP, COLUMBUS, GA 31909(706) 323-8811 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ga Southern Dental Ppo NPPES

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

GA SOUTHERN DENTAL PPO (NPI 1215891049), doing business as Adams Family And Cosmetic Dentistry, is a healthcare organization registered as a dentist in Columbus, Georgia and active in the NPI registry since December 2025. The organization lists Erika Menjivar, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1215891049
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGA SOUTHERN DENTAL PPO
Location Address7407 N LAKE LOOPColumbus, GA 31909-2577
Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775
Phone(706) 323-8811
Organization SubpartYes
Authorized OfficialErika MenjivarCredentialing Manager · (469) 596-6137
Enumeration DateDecember 15, 2025
Last NPPES UpdateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
✔ NPI 1215891049 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.
7407 N LAKE LOOP, Columbus, GA 31909
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Other Names 1

Doing Business AsAdams Family And Cosmetic Dentistry

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.

JULIA CHRISTINA HOBEN DMD
Dentist
7407 N LAKE LOOP
COLUMBUS, GA 31909
Muscogee County (706) 323-8811

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 Ga Southern Dental Ppo's NPI number?

The NPI number for Ga Southern Dental Ppo is 1215891049. It was assigned to this organization in the NPPES registry on December 15, 2025. The provider is doing business as Adams Family and Cosmetic Dentistry.

Where is Ga Southern Dental Ppo located?

Ga Southern Dental Ppo is located at 7407 N Lake Loop, Columbus, GA 31909. The listed phone number is (706) 323-8811.

What is Ga Southern Dental Ppo's specialty?

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

When was this NPI record last updated?

The NPPES record for Ga Southern Dental Ppo was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.