Active NPI
Dental Sleep Medicine of Athens, LLC
- Customized Equipment (DME)
- Winterville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- DENTAL SLEEP MEDICINE OF ATHENS, LLC
- Practice address
- 104 Moores Grove Rd Ste 100
Winterville, GA 30683-1506 - Phone
- (706) 546-8407
- Fax
- (706) 546-8409
- NPI assigned
- Feb 10, 2015
- Last updated
- Apr 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Phillip Hue Durden IV, DMD
- Title
- Owner
- Phone
- (706) 546-8407
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
104 Moores Grove Rd Ste 100
Winterville, GA 30683-1506
Mailing address
104 Moores Grove Rd Ste 100
Winterville, GA 30683-1506
Phone (706) 546-8407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150911000305 | GA | DME Supplier - Oral Surgery - Dentist | 6406163237 | Practice locations: Winterville, GA |
National Provider Directory
National Provider DirectoryLocations
2470 Daniells Bridge Rd
Ste 201
Athens, GA 30606
Phone (706) 353-3500
2470 Daniells Bridge Rd
Ste 202
Athens, GA 30606
104 Moores Grove Rd
#100
Winterville, GA 30683
Phone (706) 247-6821
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Winterville, GA
- NPI 1851493977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776816000000",
"number": "1861883043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 MOORES GROVE RD STE 100",
"city": "WINTERVILLE",
"state": "GA",
"postal_code": "306831506",
"telephone_number": "706-546-8407",
"fax_number": "706-546-8409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MOORES GROVE RD STE 100",
"city": "WINTERVILLE",
"state": "GA",
"postal_code": "306831506",
"telephone_number": "706-546-8407",
"fax_number": "706-546-8409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL SLEEP MEDICINE OF ATHENS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-10",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A",
"authorized_official_last_name": "DURDEN",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "HUE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-546-8407",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "IV",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winterville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.