Athens Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ATHENS DENTAL GROUP LLC

Doing business as

Aesthetic Dental Associates

Practice address

1520 Jennings Mill Rd Ste a
Watkinsville, GA 30677-7308

Phone

(706) 353-1958

NPI assigned

Jun 6, 2023

Last updated

Jun 6, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brant Sandifer, DMDNPI 1871014449

Title

Owner

Phone

(706) 353-1958

Specialties & licenses 1

Addresses

Other names 1

• Aesthetic Dental Associates Doing business as

Locations

Practitioners 2

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.

• Brant Sandifer, DMD

  • Dentist
  • Watkinsville, GA
  • NPI 1871014449
  NPD Authorized official
• Andrew Earl Richardson, DMD

  • Dentist
  • Savannah, GA
  • NPI 1356871222
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1992499693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 JENNINGS MILL RD STE A",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777308",
            "telephone_number": "706-353-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 JENNINGS MILL RD STE A",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777308",
            "telephone_number": "706-353-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "SANDIFER",
        "authorized_official_first_name": "BRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-353-1958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Athens Area Bilingual Therapy LLC
• Athens Area Family Medicine Associates PC
• Athens Area Pediatric Dentistry, P.C.
• Athens Area Urology, PC (Athens Area Urology)
• Athens Cardiac Clinic PC
• Athens Dermatology Group PC
• Athens Digestive Endoscopy Center
• Athens Digestive Healthcare Associates
• Athens Eye Associates
• Athens GPR LLC (Athens GPR)

• General Practice Dentistry in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.