OrganizationActive
Dyess Parkway Dental, LLC
NPI 1275898900 · General Practice Dentistry · Augusta, GA
Dyess Parkway Dental, LLC is a General Practice Dentistry organization in Augusta, GA (NPI 1275898900).
Provider details
- NPI number
- 1275898900
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Fred Hannan, Dentist(706) 868-4200
- License
- 6539 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
4045 Jimmie Dyess Pkwy Ste 103
Augusta, GA 30909-9492
Phone: (706) 868-4200
Fax: (706) 868-4717
Street-level locationGet directions
Mailing address
4045 Jimmie Dyess Pkwy Ste 103
Augusta, GA 30909-9492
Registry dates
- Enumerated
- 2012-07-09
- Last updated
- 2012-07-09
Frequently asked questions
- What is Dyess Parkway Dental, LLC's NPI number?
- Dyess Parkway Dental, LLC's National Provider Identifier (NPI) is 1275898900, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dyess Parkway Dental, LLC?
- Dyess Parkway Dental, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Dyess Parkway Dental, LLC located?
- Dyess Parkway Dental, LLC's practice location on file with NPPES is 4045 Jimmie Dyess Pkwy Ste 103, Augusta, GA 30909-9492.
- What is Dyess Parkway Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Dyess Parkway Dental, LLC is (706) 868-4200.
- Who is the authorized official for Dyess Parkway Dental, LLC?
- The authorized official listed on Dyess Parkway Dental, LLC's NPPES record is Fred Hannan, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dyess Parkway Dental, LLC's NPI active?
- Yes — Dyess Parkway Dental, LLC's NPI (1275898900) is active in the NPPES registry as of the last update on 2012-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.