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PDA SPECIALTY OF GEORGIA, LLC
NPI 1457853210
Dentist - Oral and Maxillofacial Pathology in Acworth, GA

Active since March 07, 2018
3466 COBB PKWY NW STE 170, ACWORTH, GA 30101(770) 203-1711 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Mar 7, 2018 (2 updates tracked since 2018).

About Pda Specialty Of Georgia, Llc NPPES

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

PDA SPECIALTY OF GEORGIA, LLC (NPI 1457853210) is a healthcare organization registered as an oral and maxillofacial pathology in Acworth, Georgia and active in the NPI registry since March 2018. The organization maintains 7 additional practice locations and lists Annette Marlow, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1457853210
Entity TypeOrganization
Primary Taxonomy1223P0106X
Legal Business NamePDA SPECIALTY OF GEORGIA, LLC
Location Address3466 COBB PKWY NW STE 170Acworth, GA 30101-5768
Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680
Phone(770) 203-1711
Organization SubpartNo
Authorized OfficialAnnette MarlowCredentialing Supervisor · (724) 698-2119
Enumeration DateMarch 7, 2018
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1457853210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

3466 COBB PKWY NW STE 170, Acworth, GA 30101
Open in Google Maps ↗

Secondary Practice Locations 7

Location 11867 Jonesboro Rd Ste 6McDonough, GA 30253-6099 · Phone (678) 432-0209
Location 23230 Lawrence Suwanee Rd, Suite 300Suwanee, GA 30024 · Phone (770) 224-0140
Location 35304 Windward PkwyAlpharetta, GA 30004-3827 · Phone (770) 777-1911
Location 44374 Atlanta Hwy Ste 109Hiram, GA 30141-1849 · Phone (770) 505-9898
Location 54353 Atlanta Hwy Ste 300Loganville, GA 30052-3232 · Phone (770) 450-2030
Location 6740 Ferst Drive NW Suite 207Atlanta, GA 30322-0001 · Phone (404) 733-2022
Location 710373 Industrial Blvd NECovington, GA 30014-1403 · Phone (678) 306-6000

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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.

PROFESSIONAL DENTAL ALLIANCE OF GEORGIA, LLC
Dentist (General Practice)
3466 COBB PKWY NW STE 170
ACWORTH, GA 30101
Cobb County (770) 203-1711
DR. WARREN KRITSANACHAIWANICH DMD
Dentist (General Practice)
3466 COBB PKWY NW STE 170
ACWORTH, GA 30101
Cobb County (770) 203-1711

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 Pda Specialty Of Georgia, LLC's NPI number?

The NPI number for Pda Specialty Of Georgia, LLC is 1457853210. It was assigned to this organization in the NPPES registry on March 7, 2018.

Where is Pda Specialty Of Georgia, LLC located?

Pda Specialty Of Georgia, LLC is located at 3466 Cobb Pkwy NW Ste 170, Acworth, GA 30101. The listed phone number is (770) 203-1711.

What is Pda Specialty Of Georgia, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

What insurance does Pda Specialty Of Georgia, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Pda Specialty Of Georgia, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pda Specialty Of Georgia, LLC was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.