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PROVIDENCE DENTAL LLC
NPI 1295189595
Dentist - General Practice in Macon, GA

Active since April 22, 2016
225 N MACON ST, MACON, GA 31210(478) 733-0857(478) 254-5709 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Dental Llc NPPES

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

PROVIDENCE DENTAL LLC (NPI 1295189595) is a healthcare organization registered as a general practice in Macon, Georgia and active in the NPI registry since April 2016. The organization lists Paul Jason Mann, Owner, as its authorized official.

NPPES Registry Identity

NPI1295189595
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROVIDENCE DENTAL LLC
Location Address225 N MACON STMacon, GA 31210-6562
Mailing Address225 N Macon StMacon, GA 31210-6562 · (478) 733-0857 · Fax (478) 254-5709
Phone(478) 733-0857
Fax(478) 254-5709
Organization SubpartNo
Authorized OfficialPaul Jason MannOwner · (478) 733-0857
Enumeration DateApril 22, 2016
Last NPPES UpdateJuly 11, 2024
NPPES CertifiedJuly 11, 2024
✔ NPI 1295189595 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 · DN013536
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.
225 N MACON ST, Macon, GA 31210
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 4

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

ARJUN PATEL
Dentist (General Practice)
225 N MACON ST
MACON, GA 31210
Bibb County (478) 733-0857
PROVIDENCE DENTAL LLC
Clinic/Center (Dental)
225 N MACON ST
MACON, GA 31210
Bibb County (478) 733-0857
DR. KARAN GEORGE THACHIL DMD
Dentist (General Practice)
225 N MACON ST
MACON, GA 31210
Bibb County (478) 733-0857
DR. ASHNA SHAH DMD
Dentist (General Practice)
225 N MACON ST
MACON, GA 31210
Bibb County No phone listed

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 Providence Dental LLC's NPI number?

The NPI number for Providence Dental LLC is 1295189595. It was assigned to this organization in the NPPES registry on April 22, 2016.

Where is Providence Dental LLC located?

Providence Dental LLC is located at 225 N Macon St, Macon, GA 31210. The listed phone number is (478) 733-0857.

What is Providence Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Providence Dental LLC accept?

Health plans from UnitedHealthcare list Providence Dental 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 Providence Dental LLC was last updated on July 11, 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.