OrganizationActive
Northeast Georgia Dental Group
NPI 1063904076 · General Practice Dentistry · Braselton, GA
Northeast Georgia Dental Group is a General Practice Dentistry organization in Braselton, GA (NPI 1063904076).
Provider details
- NPI number
- 1063904076
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ann Sorensen, Director of Operations(770) 532-4555
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1205 Friendship Road
Braselton, GA 30517
Phone: (770) 532-4555
Fax: (770) 536-8053
Street-level locationGet directions
Mailing address
1215 Vine St Ne
Gainesville, GA 30501-2535
Other names (DBA / former)
- Doing business as
- Bgw Dental Group
- Doing business as
- Bgw Dental Group
Registry dates
- Enumerated
- 2018-06-05
- Last updated
- 2018-06-05
Frequently asked questions
- What is Northeast Georgia Dental Group's NPI number?
- Northeast Georgia Dental Group's National Provider Identifier (NPI) is 1063904076, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Georgia Dental Group?
- Northeast Georgia Dental Group is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Northeast Georgia Dental Group located?
- Northeast Georgia Dental Group's practice location on file with NPPES is 1205 Friendship Road, Braselton, GA 30517.
- What is Northeast Georgia Dental Group's phone number?
- The practice phone number listed in the NPPES registry for Northeast Georgia Dental Group is (770) 532-4555.
- Who is the authorized official for Northeast Georgia Dental Group?
- The authorized official listed on Northeast Georgia Dental Group's NPPES record is Ann Sorensen, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Georgia Dental Group's NPI active?
- Yes — Northeast Georgia Dental Group's NPI (1063904076) is active in the NPPES registry as of the last update on 2018-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.