MOUNTAIN CITY DENTISTRY LLC
NPI 1467222588
Dentist - General Practice in Jasper, GA

Active since January 09, 2024
49 GORDON RD, SUITE 102, JASPER, GA 30143(770) 744-5437 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountain City Dentistry Llc NPPES

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

MOUNTAIN CITY DENTISTRY LLC (NPI 1467222588) is a healthcare organization registered as a general practice in Jasper, Georgia and active in the NPI registry since January 2024. The organization lists Ryan Driesse, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1467222588
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMOUNTAIN CITY DENTISTRY LLC
Location Address49 GORDON RD, SUITE 102Jasper, GA 30143
Mailing Address7925 Scenic Ridge WayBall Ground, GA 30107-5102
Organization SubpartNo
Authorized OfficialRyan DriesseOwner Doctor · (707) 445-4377
Enumeration DateJanuary 9, 2024
NPPES CertifiedJanuary 8, 2024
NPI 1467222588 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.
49 GORDON RD, Jasper, GA 30143

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 4

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

Urology
49 GORDON RD, SUITE 103
JASPER, GA 30143
Pediatrics
49 GORDON RD, SUITE 103
JASPER, GA 30143
Podiatrist (Foot & Ankle Surgery)
49 GORDON RD, SUITE 104
JASPER, GA 30143
Pain Medicine (Interventional Pain Medicine)
49 GORDON RD, SUITE 102
JASPER, GA 30143

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 Mountain City Dentistry LLC's NPI number?

The NPI number for Mountain City Dentistry LLC is 1467222588. It was assigned to this organization in the NPPES registry on January 9, 2024.

Where is Mountain City Dentistry LLC located?

Mountain City Dentistry LLC is located at 49 Gordon Rd Suite 102, Jasper, GA 30143. The listed phone number is (770) 744-5437.

What is Mountain City Dentistry 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 Mountain City Dentistry LLC was last updated on January 9, 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.