1. Home
  2. Directory
  3. Georgia
  4. Fayetteville
  5. Clinic Center
  6. NPI Profile

FAYETTE DENTAL GROUP PC
NPI 1356810634
Clinic/Center - Dental in Fayetteville, GA

Active since November 16, 2018
720 W LANIER AVE, FAYETTEVILLE, GA 30214(770) 683-2284 Get Directions Write a Review

NPPES record last updated: November 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fayette Dental Group Pc NPPES

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

FAYETTE DENTAL GROUP PC (NPI 1356810634) is a healthcare organization registered as a dental in Fayetteville, Georgia and active in the NPI registry since November 2018. The organization lists Tash-marie Cheney, Coo, as its authorized official.

NPPES Registry Identity

NPI1356810634
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFAYETTE DENTAL GROUP PC
Location Address720 W LANIER AVEFayetteville, GA 30214
Mailing Address720 W Lanier AveFayetteville, GA 30214
Phone(770) 683-2284
Organization SubpartNo
Authorized OfficialTash-marie CheneyCoo · (770) 683-2284
Enumeration DateNovember 16, 2018
✔ NPI 1356810634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
720 W LANIER AVE, Fayetteville, GA 30214
Open in Google Maps ↗

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 Fayette Dental Group PC's NPI number?

The NPI number for Fayette Dental Group PC is 1356810634. It was assigned to this organization in the NPPES registry on November 16, 2018.

Where is Fayette Dental Group PC located?

Fayette Dental Group PC is located at 720 W Lanier Ave, Fayetteville, GA 30214. The listed phone number is (770) 683-2284.

What is Fayette Dental Group PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Fayette Dental Group PC was last updated on November 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.