Austell Dental Associates, LLC
Organization Active NPI General Practice Dentistry · Austell, GA
NPI 1497877658 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1497877658
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9279 (GA)
- Legal business name
- AUSTELL DENTAL ASSOCIATES, LLC
- Practice address
- 4750 Austell Rd
Austell, GA 30106-2004 - Phone
- (770) 948-8888
- Fax
- (770) 948-9065
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael Kent Pace, M.D
- Title
- Dentist
- Phone
- (770) 948-8888
Practitioners 3
-
Richard Scott Gardner, D.M.D.
-
Michael Kent Pace, D.D.S
-
Melanie Phuong Tang, D.M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 9279 | GA | Yes |
Addresses
Primary practice location
4750 Austell Rd
Austell, GA 30106-2004
Mailing address
4750 Austell Rd
Austell, GA 30106-2004
Phone (770) 948-8888
Other providers in Austell, GA
- Atlanta West Dermatology & Surgery Center PC
- Atlanta West Family Dentistry
- Attention Consulting Services LLC
- Kate Elizabeth Aufort
- Austell Cosmetic Dentistry
- Austell Dental Center
- Austell Dentistry Associates LLC
- Austell Eyecare Inc
- Austell Smiles Dentistry, PC
- Austell Surgery Center, LLC
All providers in Austell, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.