OrganizationActive
Pdaa 2 Evans LLC
NPI 1417764507 · Pediatric Dentistry · Evans, GA
Pdaa 2 Evans LLC is a Pediatric Dentistry organization in Evans, GA (NPI 1417764507).
Provider details
- NPI number
- 1417764507
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Akindeko Obebe, Dentist(216) 849-8097
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 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
4250 Washington Rd Ste 1
Evans, GA 30809-3351
Phone: (706) 524-7628
Street-level locationGet directions
Mailing address
4250 Washington Rd Ste 1
Evans, GA 30809-3351
Other names (DBA / former)
- Doing business as
- Augusta Children'S Dental Center West
Registry dates
- Enumerated
- 2024-12-12
- Last updated
- 2024-12-31
- Certified
- 2024-12-31
Frequently asked questions
- What is Pdaa 2 Evans LLC's NPI number?
- Pdaa 2 Evans LLC's National Provider Identifier (NPI) is 1417764507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pdaa 2 Evans LLC?
- Pdaa 2 Evans LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pdaa 2 Evans LLC located?
- Pdaa 2 Evans LLC's practice location on file with NPPES is 4250 Washington Rd Ste 1, Evans, GA 30809-3351.
- What is Pdaa 2 Evans LLC's phone number?
- The practice phone number listed in the NPPES registry for Pdaa 2 Evans LLC is (706) 524-7628.
- Who is the authorized official for Pdaa 2 Evans LLC?
- The authorized official listed on Pdaa 2 Evans LLC's NPPES record is Akindeko Obebe, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pdaa 2 Evans LLC's NPI active?
- Yes — Pdaa 2 Evans LLC's NPI (1417764507) is active in the NPPES registry as of the last update on 2024-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.