OrganizationActive
Aesthetic Restorative Dentistry, P. C.
NPI 1437694791 · Prosthodontics · Peachtree City, GA
Provider details
- NPI number
- 1437694791
- Entity type
- Organization
- Primary specialty
- ProsthodonticsDental Providers
- Organization subpart
- No
- Authorized official
- W Dominy, Owner(770) 631-0044
- License
- DN010888 (GA)
Specialties & taxonomies
Dental Providers
Practice location
5000 Shakerag Hl
Peachtree City, GA 30269-3367
Phone: (770) 631-0044
Fax: (770) 631-9434
Approximate (ZIP-level) locationGet directions
Mailing address
5000 Shakerag Hl
Peachtree City, GA 30269-3367
Registry dates
- Enumerated
- 2016-12-22
- Last updated
- 2016-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.