1. Home
  2. Directory
  3. Georgia
  4. Fayetteville
  5. Dentist
  6. NPI Profile

HEARTLAND DENTAL CARE OF GEORGIA, P.C.
NPI 1639966500
Dentist - General Practice in Fayetteville, GA

Active since April 23, 2025
100 HOWARD LN, FAYETTEVILLE, GA 30215(770) 461-9935 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heartland Dental Care Of Georgia, P.c. NPPES

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

HEARTLAND DENTAL CARE OF GEORGIA, P.C. (NPI 1639966500), doing business as Line Creek Dental Care, is a healthcare organization registered as a general practice in Fayetteville, Georgia and active in the NPI registry since April 2025. The organization lists Hillary Thull, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1639966500
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHEARTLAND DENTAL CARE OF GEORGIA, P.C.
Location Address100 HOWARD LNFayetteville, GA 30215-1849
Mailing Address100 Howard LnFayetteville, GA 30215-1849
Phone(770) 461-9935
Organization SubpartYes
Authorized OfficialHillary ThullCredentialing Coordinator · (217) 540-8946
Enumeration DateApril 23, 2025
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1639966500 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.
100 HOWARD LN, Fayetteville, GA 30215
Open in Google Maps ↗

Other Names 1

Doing Business AsLine Creek Dental Care

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 3

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

CHARLES EDWIN BARBER DMD
Dentist
100 HOWARD LN
FAYETTEVILLE, GA 30215
Fayette County (770) 461-9935
KHUDSONANDCBARBERDMDPC
Dentist (General Practice)
100 HOWARD LN
FAYETTEVILLE, GA 30215
Fayette County (770) 461-9935
WALTER KENNETH HUDSON DMD
Dentist
100 HOWARD LN
FAYETTEVILLE, GA 30215
Fayette County (770) 461-9935

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 Heartland Dental Care Of Georgia, P.C.'s NPI number?

The NPI number for Heartland Dental Care Of Georgia, P.C. is 1639966500. It was assigned to this organization in the NPPES registry on April 23, 2025. The provider is doing business as Line Creek Dental Care.

Where is Heartland Dental Care Of Georgia, P.C. located?

Heartland Dental Care Of Georgia, P.C. is located at 100 Howard Ln, Fayetteville, GA 30215. The listed phone number is (770) 461-9935.

What is Heartland Dental Care Of Georgia, P.C.'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 Heartland Dental Care Of Georgia, P.C. was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.