OrganizationActive
Loganville Dentist Office, PC
NPI 1336693506 · General Practice Dentistry · Loganville, GA
Loganville Dentist Office, PC is a General Practice Dentistry organization in Loganville, GA (NPI 1336693506).
Provider details
- NPI number
- 1336693506
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Katie Mccann, Owner(404) 720-6097
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
4799 Atlanta Hwy
Suite 520
Loganville, GA 30052-7307
Phone: (404) 720-6097
Fax: (404) 609-2675
Street-level locationGet directions
Mailing address
17000 Red Hill Ave
Irvine, CA 92614-5626
Other names (DBA / former)
- Doing business as
- Loganville Dentist Office
Registry dates
- Enumerated
- 2016-08-05
- Last updated
- 2016-08-05
Frequently asked questions
- What is Loganville Dentist Office, PC's NPI number?
- Loganville Dentist Office, PC's National Provider Identifier (NPI) is 1336693506, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Loganville Dentist Office, PC?
- Loganville Dentist Office, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Loganville Dentist Office, PC located?
- Loganville Dentist Office, PC's practice location on file with NPPES is 4799 Atlanta Hwy, Loganville, GA 30052-7307.
- What is Loganville Dentist Office, PC's phone number?
- The practice phone number listed in the NPPES registry for Loganville Dentist Office, PC is (404) 720-6097.
- Who is the authorized official for Loganville Dentist Office, PC?
- The authorized official listed on Loganville Dentist Office, PC's NPPES record is Katie Mccann, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Loganville Dentist Office, PC's NPI active?
- Yes — Loganville Dentist Office, PC's NPI (1336693506) is active in the NPPES registry as of the last update on 2016-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.