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CLIFFORD AVENUE DENTAL LLC
NPI 1831954304
Dentist - General Practice in Sylvania, GA

Active since February 14, 2024
112 CLIFFORD AVE, SYLVANIA, GA 30467(912) 564-7107(912) 564-9349 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clifford Avenue Dental Llc NPPES

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

CLIFFORD AVENUE DENTAL LLC (NPI 1831954304), doing business as Screven Dental, is a healthcare organization registered as a general practice in Sylvania, Georgia and active in the NPI registry since February 2024. The organization lists Jenny Garcia-rocha, Sr Team Lead, as its authorized official.

NPPES Registry Identity

NPI1831954304
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLIFFORD AVENUE DENTAL LLC
Location Address112 CLIFFORD AVESylvania, GA 30467-2012
Mailing Address112 Clifford AveSylvania, GA 30467-2012 · (912) 564-7107 · Fax (912) 564-9349
Phone(912) 564-7107
Fax(912) 564-9349
Organization SubpartNo
Authorized OfficialJenny Garcia-rochaSr Team Lead · (972) 869-3789
Enumeration DateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1831954304 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.
112 CLIFFORD AVE, Sylvania, GA 30467
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Other Names 1

Doing Business AsScreven Dental

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.

C. EDWARD HAGAN D.D.S.
Dentist (General Practice)
112 CLIFFORD AVE
SYLVANIA, GA 30467
Screven County (912) 564-7107
MARIA H. MARTINSON D.M.D.
Dentist (General Practice)
112 CLIFFORD AVE
SYLVANIA, GA 30467
Screven County (912) 564-7107
SCREVEN DENTAL
Clinic/Center (Dental)
112 CLIFFORD AVE
SYLVANIA, GA 30467
Screven County (912) 564-7107

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 Clifford Avenue Dental LLC's NPI number?

The NPI number for Clifford Avenue Dental LLC is 1831954304. It was assigned to this organization in the NPPES registry on February 14, 2024. The provider is doing business as Screven Dental.

Where is Clifford Avenue Dental LLC located?

Clifford Avenue Dental LLC is located at 112 Clifford Ave, Sylvania, GA 30467. The listed phone number is (912) 564-7107.

What is Clifford Avenue Dental 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 Clifford Avenue Dental LLC was last updated on February 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.