1. Home
  2. Directory
  3. Georgia
  4. Gainesville
  5. Dentist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PBT DENTAL LLC
NPI 1366916744
Dentist in Gainesville, GA

Active since January 18, 2019
590 S ENOTA DR NE STE 2, GAINESVILLE, GA 30501(770) 536-4471(770) 534-2174 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2026, Jan 18, 2019 (2 updates tracked since 2019).

About Pbt Dental Llc NPPES

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

PBT DENTAL LLC (NPI 1366916744) is a healthcare organization registered as a dentist in Gainesville, Georgia and active in the NPI registry since January 2019. The organization lists Victoria Johnson, Cro, as its authorized official.

NPPES Registry Identity

NPI1366916744
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePBT DENTAL LLC
Location Address590 S ENOTA DR NE STE 2Gainesville, GA 30501-2433
Mailing Address590 S Enota Dr Ne Ste 2Gainesville, GA 30501-2433
Phone(770) 536-4471
Fax(770) 534-2174
Organization SubpartNo
Authorized OfficialVictoria JohnsonCro · (941) 444-0558
Enumeration DateJanuary 18, 2019
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1366916744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
590 S ENOTA DR NE STE 2, Gainesville, GA 30501
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

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 Pbt Dental LLC's NPI number?

The NPI number for Pbt Dental LLC is 1366916744. It was assigned to this organization in the NPPES registry on January 18, 2019.

Where is Pbt Dental LLC located?

Pbt Dental LLC is located at 590 S Enota Dr NE Ste 2, Gainesville, GA 30501. The listed phone number is (770) 536-4471.

What is Pbt Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Pbt Dental LLC was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.