Athens Dental Group LLC
Organization Active NPI General Practice Dentistry · Watkinsville, GA
NPI 1992499693 · NPPES record last updated Jun 6, 2023
Key facts
- NPI
- 1992499693
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- ATHENS DENTAL GROUP LLC
- Practice address
- 1520 Jennings Mill Rd Ste a
Watkinsville, GA 30677-7308 - Phone
- (706) 353-1958
- NPI assigned
- Jun 6, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Brant Sandifer, DMD
- Title
- Owner
- Phone
- (706) 353-1958
Practitioners 2
-
Brant Sandifer, DMD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
1520 Jennings Mill Rd Ste a
Watkinsville, GA 30677-7308
Mailing address
1520 Jennings Mill Rd Ste a
Watkinsville, GA 30677-7308
Phone (706) 353-1958
Other names
- Aesthetic Dental Associates
Other providers in Watkinsville, GA
- Athens Area Bilingual Therapy LLC
- Athens Area Family Medicine Associates PC
- Athens Area Pediatric Dentistry, P.C.
- Athens Area Urology, PC
- Athens Cardiac Clinic PC
- Athens Dermatology Group PC
- Athens Digestive Endoscopy Center
- Athens Digestive Healthcare Associates
- Athens Eye Associates
- Athens GPR LLC
All providers in Watkinsville, 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 Jun 6, 2023. 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.