1. Home
  2. Directory
  3. Georgia
  4. Tifton
  5. Clinic Center
  6. NPI Profile

GEORGIA DENTAL ASSOCIATES OF TIFTON
NPI 1619516002
Clinic/Center - Dental in Tifton, GA

Active since January 02, 2020
315 14TH ST E, TIFTON, GA 31794(229) 313-5083 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2022, Jan 3, 2020 (2 updates tracked since 2020).

About Georgia Dental Associates Of Tifton NPPES

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

GEORGIA DENTAL ASSOCIATES OF TIFTON (NPI 1619516002) is a healthcare organization registered as a dental in Tifton, Georgia and active in the NPI registry since January 2020. The organization lists Nettie S Hatcher, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1619516002
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGEORGIA DENTAL ASSOCIATES, LLC
Location Address315 14TH ST ETifton, GA 31794-4018
Mailing Address315 14th St ETifton, GA 31794-4018 · (229) 313-5083
Phone(229) 313-5083
Organization SubpartYesParent: Georgia Dental Associates
Authorized OfficialNettie S HatcherDirector Of Operations · (229) 848-2685
Enumeration DateJanuary 2, 2020
Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
✔ NPI 1619516002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
315 14TH ST E, Tifton, GA 31794
Open in Google Maps ↗

Other Names 1

Doing Business AsGeorgia Dental Associates Of Tifton

Other Providers at the Same Location NPPES

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

ALLEN M. VICKERS, DMD
Clinic/Center (Dental)
315 14TH ST E
TIFTON, GA 31794
Tift County (229) 382-0803

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 Georgia Dental Associates, LLC's NPI number?

The NPI number for Georgia Dental Associates, LLC is 1619516002. It was assigned to this organization in the NPPES registry on January 2, 2020. The provider is doing business as Georgia Dental Associates Of Tifton.

Where is Georgia Dental Associates, LLC located?

Georgia Dental Associates, LLC is located at 315 14th St E, Tifton, GA 31794. The listed phone number is (229) 313-5083.

What is Georgia Dental Associates, 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 Georgia Dental Associates, LLC was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.