Pda Specialty of Georgia, LLC
NPI 1457853210 · Oral and Maxillofacial Pathology Dentistry · Acworth, GA
Pda Specialty of Georgia, LLC is a Oral and Maxillofacial Pathology Dentistry organization in Acworth, GA (NPI 1457853210).
Provider details
- NPI number
- 1457853210
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Annette Marlow, Credentialing Supervisor(724) 698-2119
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
8 documented practice locations
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
Mailing address
Additional practice locations (7)
- 5304 Windward PkwyAlpharetta, GA 30004-3827Phone: (770) 777-1911
- 740 Ferst Drive Nw Suite 207Atlanta, GA 30322-0001Phone: (404) 733-2022
- 10373 Industrial Blvd NeCovington, GA 30014-1403Phone: (678) 306-6000
- 4374 Atlanta Hwy Ste 109Hiram, GA 30141-1849Phone: (770) 505-9898
- 4353 Atlanta Hwy Ste 300Loganville, GA 30052-3232Phone: (770) 450-2030
- 1867 Jonesboro Rd Ste 6Mcdonough, GA 30253-6099Phone: (678) 432-0209
- 3230 Lawrence Suwanee RdSuite 300Suwanee, GA 30024Phone: (770) 224-0140
Registry dates
- Enumerated
- 2018-03-07
- Last updated
- 2018-03-17
Frequently asked questions
- What is Pda Specialty of Georgia, LLC's NPI number?
- Pda Specialty of Georgia, LLC's National Provider Identifier (NPI) is 1457853210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pda Specialty of Georgia, LLC?
- Pda Specialty of Georgia, LLC is classified in the NPPES registry as Oral and Maxillofacial Pathology Dentistry (Dental Providers).
- Where is Pda Specialty of Georgia, LLC located?
- Pda Specialty of Georgia, LLC's practice location on file with NPPES is 3466 Cobb Pkwy Nw Ste 170, Acworth, GA 30101-5768.
- What is Pda Specialty of Georgia, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pda Specialty of Georgia, LLC is (770) 203-1711.
- Who is the authorized official for Pda Specialty of Georgia, LLC?
- The authorized official listed on Pda Specialty of Georgia, LLC's NPPES record is Annette Marlow, Credentialing Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pda Specialty of Georgia, LLC's NPI active?
- Yes — Pda Specialty of Georgia, LLC's NPI (1457853210) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.