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ADVANCED DENTAL ARTS, LLC
NPI 1679969380
Clinic/Center - Dental in Macon, GA

Active since April 09, 2015
4705 NORTHSIDE DR, SUITE 100, MACON, GA 31210(478) 207-6939(478) 254-9638 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Dental Arts, Llc NPPES

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

ADVANCED DENTAL ARTS, LLC (NPI 1679969380) is a healthcare organization registered as a dental in Macon, Georgia and active in the NPI registry since April 2015. The organization lists Samer Mufid Othman, Owner, as its authorized official.

NPPES Registry Identity

NPI1679969380
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameADVANCED DENTAL ARTS, LLC
Location Address4705 NORTHSIDE DR, SUITE 100Macon, GA 31210-1698
Mailing Address4705 Northside Dr, Suite 100Macon, GA 31210-1698 · (478) 207-6939 · Fax (478) 254-9638
Phone(478) 207-6939
Fax(478) 254-9638
Organization SubpartNo
Authorized OfficialSamer Mufid OthmanOwner · (478) 207-6939
Enumeration DateApril 9, 2015
✔ NPI 1679969380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in GA · DN014686
4705 NORTHSIDE DR, Macon, GA 31210
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Other Providers at the Same Location NPPES

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

DR. SAMER MUFID OTHMAN D.D.S.
Dentist (General Practice)
4705 NORTHSIDE DR, SUITE 100
MACON, GA 31210
Bibb County (478) 207-6939

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 Advanced Dental Arts, LLC's NPI number?

The NPI number for Advanced Dental Arts, LLC is 1679969380. It was assigned to this organization in the NPPES registry on April 9, 2015.

Where is Advanced Dental Arts, LLC located?

Advanced Dental Arts, LLC is located at 4705 Northside Dr Suite 100, Macon, GA 31210. The listed phone number is (478) 207-6939.

What is Advanced Dental Arts, 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 Advanced Dental Arts, LLC was last updated on April 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.