OrganizationActive
Mossy Oak Dental, LLC
NPI 1992290415 · Dental Clinic/Center · Leesburg, GA
Mossy Oak Dental, LLC is a Dental Clinic/Center organization in Leesburg, GA (NPI 1992290415).
Provider details
- NPI number
- 1992290415
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alan Ford, Dentist/Owner(229) 436-7231
- License
- DN012008 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
119 Carlton Dr
Leesburg, GA 31763-5652
Phone: (229) 436-7231
Street-level locationGet directions
Mailing address
Po Box 71307
Albany, GA 31708-1307
Registry dates
- Enumerated
- 2018-06-27
- Last updated
- 2018-06-27
Frequently asked questions
- What is Mossy Oak Dental, LLC's NPI number?
- Mossy Oak Dental, LLC's National Provider Identifier (NPI) is 1992290415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mossy Oak Dental, LLC?
- Mossy Oak Dental, LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mossy Oak Dental, LLC located?
- Mossy Oak Dental, LLC's practice location on file with NPPES is 119 Carlton Dr, Leesburg, GA 31763-5652.
- What is Mossy Oak Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mossy Oak Dental, LLC is (229) 436-7231.
- Who is the authorized official for Mossy Oak Dental, LLC?
- The authorized official listed on Mossy Oak Dental, LLC's NPPES record is Alan Ford, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mossy Oak Dental, LLC's NPI active?
- Yes — Mossy Oak Dental, LLC's NPI (1992290415) is active in the NPPES registry as of the last update on 2018-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.