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CONYERS DENTAL LLC
NPI 1437748647
Dentist - General Practice in Conyers, GA

Active since January 12, 2021
1317 MILSTEAD AVE NE, CONYERS, GA 30012(770) 760-0036(770) 760-9100 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2025, Jan 12, 2021 (2 updates tracked since 2021).

About Conyers Dental Llc NPPES

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

CONYERS DENTAL LLC (NPI 1437748647), doing business as Olde Town Dentistry, is a healthcare organization registered as a general practice in Conyers, Georgia and active in the NPI registry since January 2021. The organization lists Shawn C Edwards, Owner, as its authorized official.

NPPES Registry Identity

NPI1437748647
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCONYERS DENTAL LLC
Location Address1317 MILSTEAD AVE NEConyers, GA 30012-3829
Mailing Address415 S Pendleton StEasley, SC 29640-3051 · (864) 859-0111 · Fax (864) 859-0112
Phone(770) 760-0036
Fax(770) 760-9100
Organization SubpartNo
Authorized OfficialShawn C EdwardsOwner · (864) 859-0111
Enumeration DateJanuary 12, 2021
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1437748647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
1317 MILSTEAD AVE NE, Conyers, GA 30012
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Other Names 1

Doing Business AsOlde Town Dentistry

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 2

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

DR. JUAN MANUEL ARRUE D.M.D.
Dentist (General Practice)
1317 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 760-0036
DR. BENJAMIN HUNTER CROSS DMD
Dentist
1317 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 760-0036

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 Conyers Dental LLC's NPI number?

The NPI number for Conyers Dental LLC is 1437748647. It was assigned to this organization in the NPPES registry on January 12, 2021. The provider is doing business as Olde Town Dentistry.

Where is Conyers Dental LLC located?

Conyers Dental LLC is located at 1317 Milstead Ave NE, Conyers, GA 30012. The listed phone number is (770) 760-0036.

What is Conyers Dental 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 Conyers Dental LLC was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.