OrganizationActive
Coweta Dentistry Sda PC
NPI 1164064481 · General Practice Dentistry · Newnan, GA
Provider details
- NPI number
- 1164064481
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Christopher Sims, Credentialing Manager(470) 552-1823
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
203 Millard Farmer Ind Blvd
Newnan, GA 30263-1012
Phone: (770) 253-3595
Approximate (ZIP-level) locationGet directions
Mailing address
203 Millard Farmer Ind Blvd
Newnan, GA 30263-1012
Other names (DBA / former)
- Doing business as
- Coweta Dentistry Associates
Registry dates
- Enumerated
- 2019-10-09
- Last updated
- 2019-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.