OrganizationActive
Edelweiss Pd, LLC
NPI 1104651900 · Dental Clinic/Center · Watkinsville, GA
Provider details
- NPI number
- 1104651900
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Jock, Owner(706) 548-7373
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1360 Caduceus Way Ste 103
Watkinsville, GA 30677-7300
Phone: (706) 548-7373
Approximate (ZIP-level) locationGet directions
Mailing address
1360 Caduceus Way Ste 103
Watkinsville, GA 30677-7300
Other names (DBA / former)
- Doing business as
- Healthy Smiles
Registry dates
- Enumerated
- 2024-09-03
- Last updated
- 2024-09-03
- Certified
- 2024-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.