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NPI 1104206713
● Active Type 2 · Organization
Hartley Bridge Family Dentistry
Dentist · MacOn, GA · NPI 1104206713
·
Enumerated 2015 · 10 years on NPI
Hartley Bridge Family Dentistry is 1 of 4309 dentist organizations in Georgia.
NPI age
10 years
Enumerated 2015-06-09
Primary specialty
Dentist
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Bennett
Dentist/owner
Last NPPES update
2019-11-26
Source: monthly bulk 2026-05
How this organization compares
Across 4309 active dentist providers in Georgia.
NPI age
10 years
↓ 8 yr below median
Practice locations
2
1 secondary on file
NPI lifetime · 2015 → 2026
2015-06 Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
4226 Hartley Bridge Rd Ste 102
MacOn, GA 31216
📞 4789572486
Mailing address
4226 Hartley Bridge Rd Ste 102
MacOn, GA 312164116
📞 4789572486
Additional practice locations
1 secondary location on file with NPPES.
Location 2
4319 Hartley Bridge Rd, Ste 130
MacOn, GA 312165866
📞 4789582486
Authorized official
Leigh Underwood Bennett, D.M.D
Dentist/owner
📞 4789572486
Individual providers at this organization
3 individual providers on file at this primary practice address.
Specialties
Dentist
Primary
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
GA license #DN014540 taxonomy 1223G0001X
Practice context
Multi-provider organization.
3 individual providers on file at this primary address.
Plus 1 secondary practice location.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.