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LOGANVILLE DENTIST OFFICE
NPI 1336693506
Dentist - General Practice in Loganville, GA

Active since August 05, 2016
4799 ATLANTA HWY, SUITE 520, LOGANVILLE, GA 30052(404) 720-6097(404) 609-2675 Get Directions Write a Review

NPPES record last updated: August 5, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Loganville Dentist Office NPPES

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

LOGANVILLE DENTIST OFFICE (NPI 1336693506) is a healthcare organization registered as a general practice in Loganville, Georgia and active in the NPI registry since August 2016. The organization lists Katie L Mccann, Owner, as its authorized official.

NPPES Registry Identity

NPI1336693506
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLOGANVILLE DENTIST OFFICE, PC
Location Address4799 ATLANTA HWY, SUITE 520Loganville, GA 30052-7307
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495
Phone(404) 720-6097
Fax(404) 609-2675
Organization SubpartNo
Authorized OfficialKatie L MccannOwner · (404) 720-6097
Enumeration DateAugust 5, 2016
✔ NPI 1336693506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
4799 ATLANTA HWY, Loganville, GA 30052
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Other Names 1

Doing Business AsLoganville Dentist Office

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Loganville Dentist Office, PC's NPI number?

The NPI number for Loganville Dentist Office, PC is 1336693506. It was assigned to this organization in the NPPES registry on August 5, 2016. The provider is doing business as Loganville Dentist Office.

Where is Loganville Dentist Office, PC located?

Loganville Dentist Office, PC is located at 4799 Atlanta Hwy Suite 520, Loganville, GA 30052. The listed phone number is (404) 720-6097.

What is Loganville Dentist Office, PC's specialty?

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

What insurance does Loganville Dentist Office, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Loganville Dentist Office, PC 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 Loganville Dentist Office, PC was last updated on August 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.