Modern Cosmetic Dental Care, LLC
NPI 1992103428 · Dental Clinic/Center · Covington, GA
Modern Cosmetic Dental Care, LLC is a Dental Clinic/Center organization in Covington, GA (NPI 1992103428).
Provider details
- NPI number
- 1992103428
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tom Mazzuckelli, Manager(678) 592-1125
- License
- DN011417 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2014-12-16
- Last updated
- 2014-12-16
Frequently asked questions
- What is Modern Cosmetic Dental Care, LLC's NPI number?
- Modern Cosmetic Dental Care, LLC's National Provider Identifier (NPI) is 1992103428, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Cosmetic Dental Care, LLC?
- Modern Cosmetic Dental Care, LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Modern Cosmetic Dental Care, LLC located?
- Modern Cosmetic Dental Care, LLC's practice location on file with NPPES is 1750 Highway 11, Covington, GA 30014.
- What is Modern Cosmetic Dental Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Modern Cosmetic Dental Care, LLC is (678) 592-1125.
- Who is the authorized official for Modern Cosmetic Dental Care, LLC?
- The authorized official listed on Modern Cosmetic Dental Care, LLC's NPPES record is Tom Mazzuckelli, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Cosmetic Dental Care, LLC's NPI active?
- Yes — Modern Cosmetic Dental Care, LLC's NPI (1992103428) is active in the NPPES registry as of the last update on 2014-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.