1. Home
  2. Directory
  3. Georgia
  4. Cedartown
  5. Dentist
  6. NPI Profile

COOSA DENTAL ASSOCIATES, LLC
NPI 1326258351
Dentist - General Practice in Cedartown, GA

Active since May 22, 2007
109 EAST AVE, CEDARTOWN, GA 30125(770) 748-7736(770) 748-4015 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coosa Dental Associates, Llc NPPES

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

COOSA DENTAL ASSOCIATES, LLC (NPI 1326258351) is a healthcare organization registered as a general practice in Cedartown, Georgia and active in the NPI registry since May 2007. The organization lists David Bradford Gandy, Dentist, as its authorized official.

NPPES Registry Identity

NPI1326258351
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOOSA DENTAL ASSOCIATES, LLC
Location Address109 EAST AVECedartown, GA 30125-2921
Mailing Address109 East AveCedartown, GA 30125-2921 · (770) 748-7736 · Fax (770) 748-4015
Phone(770) 748-7736
Fax(770) 748-4015
Organization SubpartNo
Authorized OfficialDavid Bradford GandyDentist · (770) 748-7736
Enumeration DateMay 22, 2007
Last NPPES UpdateNovember 19, 2007
✔ NPI 1326258351 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 · DN010447
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.
109 EAST AVE, Cedartown, GA 30125
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

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.

COOSA DENTAL SLEEP THERAPY LLC
Dentist
109 EAST AVE
CEDARTOWN, GA 30125
Polk County (770) 748-7736
DR. NHI JOY HO D.M.D
Dentist (General Practice)
109 EAST AVE
CEDARTOWN, GA 30125
Polk County (770) 748-7736
DAVID GANDY
Dentist (General Practice)
109 EAST AVE
CEDARTOWN, GA 30125
Polk County (706) 865-0357

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 Coosa Dental Associates, LLC's NPI number?

The NPI number for Coosa Dental Associates, LLC is 1326258351. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Coosa Dental Associates, LLC located?

Coosa Dental Associates, LLC is located at 109 East Ave, Cedartown, GA 30125. The listed phone number is (770) 748-7736.

What is Coosa Dental Associates, 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 Coosa Dental Associates, LLC was last updated on November 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.