OrganizationActive
Aesthetic Dental Assoc of Ne Ga LLC
NPI 1457793895 · Dentist · Bogart, GA
Provider details
- NPI number
- 1457793895
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- R. George, Owner(706) 353-1958
- License
- DN007721 (GA)
Specialties & taxonomies
Dental Providers
Practice location
1520a Jennings Mill Rd
Bogart, GA 30622-2543
Phone: (706) 353-1958
Fax: (706) 353-3939
Approximate (ZIP-level) locationGet directions
Mailing address
1520a Jennings Mill Rd
Bogart, GA 30622-2543
Registry dates
- Enumerated
- 2013-07-26
- Last updated
- 2013-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.