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ATHENS GPR LLC
NPI 1407699739
Dentist - General Practice in Watkinsville, GA

Active since June 14, 2024
1360 CADUCEUS WAY STE 101, WATKINSVILLE, GA 30677(706) 543-3629(706) 543-5107 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Athens Gpr Llc NPPES

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

ATHENS GPR LLC (NPI 1407699739), doing business as Athens Gpr, is a healthcare organization registered as a general practice in Watkinsville, Georgia and active in the NPI registry since June 2024. The organization lists Kenneth Bradley Hall, Owner, as its authorized official.

NPPES Registry Identity

NPI1407699739
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameATHENS GPR LLC
Location Address1360 CADUCEUS WAY STE 101Watkinsville, GA 30677-7300
Mailing AddressPo Box 7501Athens, GA 30604-7501 · (706) 715-0267
Phone(706) 543-3629
Fax(706) 543-5107
Organization SubpartNo
Authorized OfficialKenneth Bradley HallOwner · (706) 726-3397
Enumeration DateJune 14, 2024
NPPES CertifiedJune 14, 2024
✔ NPI 1407699739 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.
1360 CADUCEUS WAY STE 101, Watkinsville, GA 30677
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Other Names 1

Doing Business AsAthens Gpr

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYLER DIANE RINER BT
Behavior Technician
1360 CADUCEUS WAY STE 101
WATKINSVILLE, GA 30677
Oconee County (762) 499-3476
DR. HAIDEN ALIZABETH NUNN AUD
Audiologist
1360 CADUCEUS WAY STE 101
WATKINSVILLE, GA 30677
Oconee County (706) 310-7115
MADISON KAYLYNN DASHNER RBT
Behavior Technician
1360 CADUCEUS WAY STE 101
WATKINSVILLE, GA 30677
Oconee County (762) 499-3476
RANDI PHILLIPS
Behavior Technician
1360 CADUCEUS WAY STE 101
WATKINSVILLE, GA 30677
Oconee County (762) 499-3476
MIKIYA BROOKS
Behavior Technician
1360 CADUCEUS WAY STE 101
WATKINSVILLE, GA 30677
Oconee County (762) 499-3476
BRITTANY NICOLE CARTER
Behavior Technician
1360 CADUCEUS WAY STE 101
WATKINSVILLE, GA 30677
Oconee County (762) 499-6316
FAITH ANN WILLIAMS
Behavior Technician
1360 CADUCEUS WAY STE 101
WATKINSVILLE, GA 30677
Oconee County (762) 499-3476
MAYA GAPAC
Behavior Technician
1360 CADUCEUS WAY STE 101
WATKINSVILLE, GA 30677
Oconee County (762) 499-3476

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 Athens Gpr LLC's NPI number?

The NPI number for Athens Gpr LLC is 1407699739. It was assigned to this organization in the NPPES registry on June 14, 2024. The provider is doing business as Athens GPR.

Where is Athens Gpr LLC located?

Athens Gpr LLC is located at 1360 Caduceus Way Ste 101, Watkinsville, GA 30677. The listed phone number is (706) 543-3629.

What is Athens Gpr 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 Athens Gpr LLC was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.