ASSISTED DENTAL CARE, LLC
NPI 1902540669
Clinic/Center - Dental in Loganville, GA

Active since April 27, 2022
2070 LEE PETERS RD, LOGANVILLE, GA 30052(470) 589-9292 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental

About ASSISTED DENTAL CARE, LLC

This page provides the complete NPI Profile along with additional information for Assisted Dental Care, Llc, a provider established in Loganville, Georgia operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1902540669 assigned on April 2022. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Samantha Fountain (Managing Partner)

NPI
1902540669 Verify this NPI
Provider Name
ASSISTED DENTAL CARE, LLC
Entity Type
Organization
Location Address
2070 LEE PETERS RD LOGANVILLE, GA 30052
Location Phone
(470) 589-9292
Mailing Address
5885 CUMMING HWY STE 108199 SUGAR HILL, GA 30518
Mailing Phone
(470) 589-9292
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-27-2022
Last Update Date
04-27-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAMANTHA FOUNTAIN

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(470) 589-9292

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DN012292OTHER (01)GADENTAL LICENSE
DN011027OTHER (01)GAGEORGIA BOARD OF DENTISTRY

Reviews for ASSISTED DENTAL CARE, LLC

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902540669, enumerated as an "organization" on April 27, 2022.

The provider is located at 2070 LEE PETERS RD LOGANVILLE, GA 30052 and the phone number is (470) 589-9292.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.