CLASSIC CITY ORTHODONTICS, LLC
NPI 1316584758
Dentist - Orthodontics and Dentofacial Orthopedics in Watkinsville, GA

Active since December 04, 2019
1020 JAMESTOWN BLVD BLDG 100, WATKINSVILLE, GA 30677(706) 549-4748(706) 549-9822 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Classic City Orthodontics, Llc NPPES

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

CLASSIC CITY ORTHODONTICS, LLC (NPI 1316584758) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Watkinsville, Georgia and active in the NPI registry since December 2019. The organization maintains a secondary practice location in Athens and lists Christopher Tradd Harter, President, as its authorized official.

NPPES Registry Identity

NPI1316584758
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameCLASSIC CITY ORTHODONTICS, LLC
Location Address1020 JAMESTOWN BLVD BLDG 100Watkinsville, GA 30677-4131
Mailing Address1020 Jamestown Blvd Bldg 100Watkinsville, GA 30677-4131 · (706) 549-4748 · Fax (706) 549-9822
Fax(706) 549-9822
Organization SubpartNo
Authorized OfficialChristopher Tradd HarterPresident · (706) 549-4748
Enumeration DateDecember 4, 2019
NPI 1316584758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1020 JAMESTOWN BLVD BLDG 100, Watkinsville, GA 30677

Secondary Practice Location 1

Location 1600 Oglethorpe Ave Ste 3Athens, GA 30606-2263 · Phone (706) 549-4748 · Fax (706) 549-9822

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 Classic City Orthodontics, LLC's NPI number?

The NPI number for Classic City Orthodontics, LLC is 1316584758. It was assigned to this organization in the NPPES registry on December 4, 2019.

Where is Classic City Orthodontics, LLC located?

Classic City Orthodontics, LLC is located at 1020 Jamestown Blvd Bldg 100, Watkinsville, GA 30677. The listed phone number is (706) 549-4748.

What is Classic City Orthodontics, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Classic City Orthodontics, LLC was last updated on December 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.