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PINE MOUNTAIN FAMILY DENTISTRY, LLC
NPI 1780915165
Dentist in Pine Mountain, GA

Active since January 25, 2010
8944 HAMILTON ROAD, PINE MOUNTAIN, GA 31822(706) 663-2272(706) 663-2075 Get Directions Write a Review

NPPES record last updated: January 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pine Mountain Family Dentistry, Llc NPPES

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

PINE MOUNTAIN FAMILY DENTISTRY, LLC (NPI 1780915165) is a healthcare organization registered as a dentist in Pine Mountain, Georgia and active in the NPI registry since January 2010. The organization lists Sidney Dauster Harden, Dentist, as its authorized official.

NPPES Registry Identity

NPI1780915165
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePINE MOUNTAIN FAMILY DENTISTRY, LLC
Location Address8944 HAMILTON ROADPine Mountain, GA 31822
Mailing AddressP.o. Box 1176Pine Mountain, GA 31822-4707 · (706) 663-2272 · Fax (706) 663-2075
Phone(706) 663-2272
Fax(706) 663-2075
Organization SubpartNo
Authorized OfficialSidney Dauster HardenDentist · (706) 663-2272
Enumeration DateJanuary 25, 2010
✔ NPI 1780915165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in GA · DNO12733✔ Licensed in GA · DNO08005
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
8944 HAMILTON ROAD, Pine Mountain, GA 31822
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Other Identifiers 2

Medicaid594312970BGA
Medicaid000045295AGA

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Pine Mountain Family Dentistry, LLC's NPI number?

The NPI number for Pine Mountain Family Dentistry, LLC is 1780915165. It was assigned to this organization in the NPPES registry on January 25, 2010.

Where is Pine Mountain Family Dentistry, LLC located?

Pine Mountain Family Dentistry, LLC is located at 8944 Hamilton Road, Pine Mountain, GA 31822. The listed phone number is (706) 663-2272.

What is Pine Mountain Family Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Pine Mountain Family Dentistry, LLC was last updated on January 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.