NPI age
2 years
Enumerated 2024-05-16
● Active Type 2 · Organization
Bespoke Dental Llc
Bespoke Dental Llc is 1 of 507 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rask
Owner
Last NPPES update
2024-05-16
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
2 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-05Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
2201 Newnan Crossing Blvd E Ste 202
Newnan, GA 302652551
Mailing address
2201 Newnan Crossing Blvd E Ste 202
Newnan, GA 302652551
Authorized official
Cindy Rask, DMD
Owner
📞 6785524904
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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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.