OrganizationActive
Prime Dental LLC
NPI 1497109540 · Dentist · Fort Oglethorpe, GA
Prime Dental LLC is a Dentist organization in Fort Oglethorpe, GA (NPI 1497109540).
Provider details
- NPI number
- 1497109540
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jennifer La Duc, Provider Relations(351) 454-6000
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
17 Parkway Dr
Fort Oglethorpe, GA 30742-4249
Phone: (706) 944-3122
Fax: (706) 861-7946
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3189
Syracuse, NY 13220-3189
Other names (DBA / former)
- Doing business as
- Aspen Dental
Registry dates
- Enumerated
- 2016-04-14
- Last updated
- 2016-04-14
Frequently asked questions
- What is Prime Dental LLC's NPI number?
- Prime Dental LLC's National Provider Identifier (NPI) is 1497109540, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Dental LLC?
- Prime Dental LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Prime Dental LLC located?
- Prime Dental LLC's practice location on file with NPPES is 17 Parkway Dr, Fort Oglethorpe, GA 30742-4249.
- What is Prime Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Dental LLC is (706) 944-3122.
- Who is the authorized official for Prime Dental LLC?
- The authorized official listed on Prime Dental LLC's NPPES record is Jennifer La Duc, Provider Relations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Dental LLC's NPI active?
- Yes — Prime Dental LLC's NPI (1497109540) is active in the NPPES registry as of the last update on 2016-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.