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PROVIDENCE DENTAL LLC
NPI 1437995503
Clinic/Center - Dental in Macon, GA

Active since July 08, 2024
225 N MACON ST, MACON, GA 31210(478) 733-0857 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Dental Llc NPPES

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

PROVIDENCE DENTAL LLC (NPI 1437995503), doing business as Inspire Dental Roswell, is a healthcare organization registered as a dental in Macon, Georgia and active in the NPI registry since July 2024. The organization maintains 2 additional practice locations and lists Heather Taylor, Director, as its authorized official.

NPPES Registry Identity

NPI1437995503
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePROVIDENCE DENTAL LLC
Location Address225 N MACON STMacon, GA 31210-6562
Mailing Address555 Sun Valley Dr Ste C3Roswell, GA 30076-5621 · (770) 643-9499 · Fax (770) 490-9499
Phone(478) 733-0857
Organization SubpartYes
Authorized OfficialHeather TaylorDirector · (478) 733-0857
Enumeration DateJuly 8, 2024
NPPES CertifiedJuly 8, 2024
✔ NPI 1437995503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
225 N MACON ST, Macon, GA 31210
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Other Names 1

Doing Business AsInspire Dental Roswell

Secondary Practice Locations 2

Location 17000 Peachtree Dunwoody Rd Bldg 2Sandy Springs, GA 30328-1655 · Phone (770) 828-0000
Location 2555 Sun Valley Dr Ste C3Roswell, GA 30076-5621 · Phone (770) 643-9499 · Fax (770) 490-9499

Other Providers at the Same Location NPPES 4

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

PROVIDENCE DENTAL LLC
Dentist (General Practice)
225 N MACON ST
MACON, GA 31210
Bibb County (478) 733-0857
ARJUN PATEL
Dentist (General Practice)
225 N MACON ST
MACON, GA 31210
Bibb County (478) 733-0857
DR. KARAN GEORGE THACHIL DMD
Dentist (General Practice)
225 N MACON ST
MACON, GA 31210
Bibb County (478) 733-0857
DR. ASHNA SHAH DMD
Dentist (General Practice)
225 N MACON ST
MACON, GA 31210
Bibb County No phone listed

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 Providence Dental LLC's NPI number?

The NPI number for Providence Dental LLC is 1437995503. It was assigned to this organization in the NPPES registry on July 8, 2024. The provider is doing business as Inspire Dental Roswell.

Where is Providence Dental LLC located?

Providence Dental LLC is located at 225 N Macon St, Macon, GA 31210. The listed phone number is (478) 733-0857.

What is Providence Dental LLC'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 Providence Dental LLC was last updated on July 8, 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.