Professional Dental Alliance of Covington Elm Street, LLC
NPI 1174180319 · General Practice Dentistry · Covington, GA
Professional Dental Alliance of Covington Elm Street, LLC is a General Practice Dentistry organization in Covington, GA (NPI 1174180319).
Provider details
- NPI number
- 1174180319
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jessica Barrette, Credentialing Specialist(724) 698-2997
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Registry dates
- Enumerated
- 2019-05-23
- Last updated
- 2019-05-23
Frequently asked questions
- What is Professional Dental Alliance of Covington Elm Street, LLC's NPI number?
- Professional Dental Alliance of Covington Elm Street, LLC's National Provider Identifier (NPI) is 1174180319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Dental Alliance of Covington Elm Street, LLC?
- Professional Dental Alliance of Covington Elm Street, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Professional Dental Alliance of Covington Elm Street, LLC located?
- Professional Dental Alliance of Covington Elm Street, LLC's practice location on file with NPPES is 3162 Elm St Ne, Covington, GA 30014-2461.
- What is Professional Dental Alliance of Covington Elm Street, LLC's phone number?
- The practice phone number listed in the NPPES registry for Professional Dental Alliance of Covington Elm Street, LLC is (678) 625-7505.
- Who is the authorized official for Professional Dental Alliance of Covington Elm Street, LLC?
- The authorized official listed on Professional Dental Alliance of Covington Elm Street, LLC's NPPES record is Jessica Barrette, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Dental Alliance of Covington Elm Street, LLC's NPI active?
- Yes — Professional Dental Alliance of Covington Elm Street, LLC's NPI (1174180319) is active in the NPPES registry as of the last update on 2019-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.