NPI age
10 years
Enumerated 2016-04-22
● Active Type 2 · Organization
Providence Dental Llc
Providence Dental Llc is 1 of 4309 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mann
Owner
Last NPPES update
2024-07-11
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
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-04Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
225 N MacOn St
MacOn, GA 312106562
Mailing address
225 N MacOn St
MacOn, GA 312106562
Authorized official
Paul Jason Mann, DMD
Owner
📞 4787330857
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Ashna Shah, DMD Dentist NPI 1891472031
- Karan Thachil, DMD Dentist NPI 1689196644
Specialties
-
Dentist PrimaryA 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.
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.