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DYESS PARKWAY DENTAL, LLC
NPI 1275898900
Dentist - General Practice in Augusta, GA

Active since July 09, 2012
4045 JIMMIE DYESS PKWY STE 103, AUGUSTA, GA 30909(706) 868-4200(706) 868-4717 Get Directions Write a Review

NPPES record last updated: July 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dyess Parkway Dental, Llc NPPES

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

DYESS PARKWAY DENTAL, LLC (NPI 1275898900) is a healthcare organization registered as a general practice in Augusta, Georgia and active in the NPI registry since July 2012. The organization lists Fred M Hannan, Dentist, as its authorized official.

NPPES Registry Identity

NPI1275898900
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDYESS PARKWAY DENTAL, LLC
Location Address4045 JIMMIE DYESS PKWY STE 103Augusta, GA 30909-9492
Mailing Address4045 Jimmie Dyess Pkwy Ste 103Augusta, GA 30909-9492 · (706) 868-4200 · Fax (706) 868-4717
Phone(706) 868-4200
Fax(706) 868-4717
Organization SubpartNo
Authorized OfficialFred M HannanDentist · (706) 868-4200
Enumeration DateJuly 9, 2012
✔ NPI 1275898900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · 6539
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.
4045 JIMMIE DYESS PKWY STE 103, Augusta, GA 30909
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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

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 Dyess Parkway Dental, LLC's NPI number?

The NPI number for Dyess Parkway Dental, LLC is 1275898900. It was assigned to this organization in the NPPES registry on July 9, 2012.

Where is Dyess Parkway Dental, LLC located?

Dyess Parkway Dental, LLC is located at 4045 Jimmie Dyess Pkwy Ste 103, Augusta, GA 30909. The listed phone number is (706) 868-4200.

What is Dyess Parkway Dental, LLC'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 Dyess Parkway Dental, LLC was last updated on July 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.