OrganizationActive
Advanced Dental Arts, LLC
NPI 1679969380 · Dental Clinic/Center · Macon, GA
Advanced Dental Arts, LLC is a Dental Clinic/Center organization in Macon, GA (NPI 1679969380).
Provider details
- NPI number
- 1679969380
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samer Othman, Owner(478) 207-6939
- License
- DN014686 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
4705 Northside Dr
Suite 100
Macon, GA 31210-1698
Phone: (478) 207-6939
Fax: (478) 254-9638
Street-level locationGet directions
Mailing address
4705 Northside Dr
Macon, GA 31210-1698
Registry dates
- Enumerated
- 2015-04-09
- Last updated
- 2015-04-09
Frequently asked questions
- What is Advanced Dental Arts, LLC's NPI number?
- Advanced Dental Arts, LLC's National Provider Identifier (NPI) is 1679969380, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Dental Arts, LLC?
- Advanced Dental Arts, LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Advanced Dental Arts, LLC located?
- Advanced Dental Arts, LLC's practice location on file with NPPES is 4705 Northside Dr, Macon, GA 31210-1698.
- What is Advanced Dental Arts, LLC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Dental Arts, LLC is (478) 207-6939.
- Who is the authorized official for Advanced Dental Arts, LLC?
- The authorized official listed on Advanced Dental Arts, LLC's NPPES record is Samer Othman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Dental Arts, LLC's NPI active?
- Yes — Advanced Dental Arts, LLC's NPI (1679969380) is active in the NPPES registry as of the last update on 2015-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.