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WINTERVILLE DENTAL, LLC
NPI 1235635715
Clinic/Center - Dental in Winterville, GA

Active since April 03, 2018
104 MOORES GROVE RD, WINTERVILLE, GA 30683(706) 742-7000(706) 742-2145 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Winterville Dental, Llc NPPES

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

WINTERVILLE DENTAL, LLC (NPI 1235635715) is a healthcare organization registered as a dental in Winterville, Georgia and active in the NPI registry since April 2018. The organization lists Brandon W Whitworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1235635715
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWINTERVILLE DENTAL, LLC
Location Address104 MOORES GROVE RDWinterville, GA 30683-1506
Mailing Address104 Moores Grove RdWinterville, GA 30683-1506 · (706) 742-7000 · Fax (706) 742-2145
Phone(706) 742-7000
Fax(706) 742-2145
Organization SubpartNo
Authorized OfficialBrandon W WhitworthOwner · (706) 742-7000
Enumeration DateApril 3, 2018
Last NPPES UpdateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1235635715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
104 MOORES GROVE RD, Winterville, GA 30683
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Other Providers at the Same Location NPPES 3

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

DR. BRIAN ANDREW MITCHELL DMD
Dentist (General Practice)
104 MOORES GROVE RD
WINTERVILLE, GA 30683
Clarke County (706) 742-7000
MS. LILA FRAZER RALSTON PTA
Physical Therapy Assistant
104 MOORES GROVE RD, SUITE 100
WINTERVILLE, GA 30683
Clarke County (706) 742-0082
PHILLIP H. DURDEN, DMD, PC
Dentist
104 MOORES GROVE RD
WINTERVILLE, GA 30683
Clarke County (706) 742-7000

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 Winterville Dental, LLC's NPI number?

The NPI number for Winterville Dental, LLC is 1235635715. It was assigned to this organization in the NPPES registry on April 3, 2018.

Where is Winterville Dental, LLC located?

Winterville Dental, LLC is located at 104 Moores Grove Rd, Winterville, GA 30683. The listed phone number is (706) 742-7000.

What is Winterville Dental, 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 Winterville Dental, LLC was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.