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

PDAA 2 EVANS LLC
NPI 1417764507
Dentist - Pediatric Dentistry in Evans, GA

Active since December 12, 2024
4250 WASHINGTON RD STE 1, EVANS, GA 30809(706) 524-7628 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2024, Dec 12, 2024 (2 updates tracked since 2024).

About Pdaa 2 Evans Llc NPPES

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

PDAA 2 EVANS LLC (NPI 1417764507), doing business as Augusta Children's Dental Center West, is a healthcare organization registered as a pediatric dentistry in Evans, Georgia and active in the NPI registry since December 2024. The organization lists Akindeko Obebe, Dentist, as its authorized official.

NPPES Registry Identity

NPI1417764507
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePDAA 2 EVANS LLC
Location Address4250 WASHINGTON RD STE 1Evans, GA 30809-3351
Mailing Address4250 Washington Rd Ste 1Evans, GA 30809-3351 · (706) 524-7628 · Fax (706) 343-3995
Phone(706) 524-7628
Organization SubpartNo
Authorized OfficialAkindeko ObebeDentist · (216) 849-8097
Enumeration DateDecember 12, 2024
Last NPPES UpdateDecember 31, 20242 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
✔ NPI 1417764507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4250 WASHINGTON RD STE 1, Evans, GA 30809
Open in Google Maps ↗

Other Names 1

Doing Business AsAugusta Children's Dental Center West

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 Pdaa 2 Evans LLC's NPI number?

The NPI number for Pdaa 2 Evans LLC is 1417764507. It was assigned to this organization in the NPPES registry on December 12, 2024. The provider is doing business as Augusta Children's Dental Center West.

Where is Pdaa 2 Evans LLC located?

Pdaa 2 Evans LLC is located at 4250 Washington Rd Ste 1, Evans, GA 30809. The listed phone number is (706) 524-7628.

What is Pdaa 2 Evans LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pdaa 2 Evans LLC was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.