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POLISH DENTAL CENTER,LLC
NPI 1851729883
Point of Service in Lilburn, GA

Active since October 30, 2013
629 A BEAVER RUIN RD, LILBURN, GA 30047(770) 696-4144(470) 545-2859 Get Directions Write a Review

NPPES record last updated: October 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Polish Dental Center,llc NPPES

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

POLISH DENTAL CENTER,LLC (NPI 1851729883) is a healthcare organization registered as a point of service in Lilburn, Georgia and active in the NPI registry since October 2013. The organization lists Tiffany N Jamison, Owner, as its authorized official.

NPPES Registry Identity

NPI1851729883
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameAVALA DENTAL PROVIDERS,LLC
Location Address629 A BEAVER RUIN RDLilburn, GA 30047
Mailing Address629 A Beaver Ruin RdLilburn, GA 30047 · (770) 696-4144 · Fax (470) 545-2859
Phone(770) 696-4144
Fax(470) 545-2859
Organization SubpartNo
Authorized OfficialTiffany N JamisonOwner · (770) 696-4144
Enumeration DateOctober 30, 2013
✔ NPI 1851729883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in GA · DN014034
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
629 A BEAVER RUIN RD, Lilburn, GA 30047
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Other Names 1

Doing Business AsPolish Dental Center,llc

Other Identifiers 1

Medicaid1487953741GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Avala Dental Providers,llc's NPI number?

The NPI number for Avala Dental Providers,llc is 1851729883. It was assigned to this organization in the NPPES registry on October 30, 2013. The provider is doing business as Polish Dental Center,llc.

Where is Avala Dental Providers,llc located?

Avala Dental Providers,llc is located at 629 A Beaver Ruin Rd, Lilburn, GA 30047. The listed phone number is (770) 696-4144.

What is Avala Dental Providers,llc's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

What insurance does Avala Dental Providers,llc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Avala Dental Providers,llc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avala Dental Providers,llc was last updated on October 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.