NPI age
5 years
Enumerated 2020-09-24
● Active Type 2 · Organization
Cedar Dental Clinical I, Llc
Cedar Dental Clinical I, Llc is 1 of 526 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dallam
President
Last NPPES update
2020-09-24
Source: monthly bulk 2026-05
How this organization compares
Across 526 active dentist providers in Georgia.
NPI age
5 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-09Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
18 Riverbend Dr Sw Ste 230
Rome, GA 301616019
Mailing address
6801 Governors Lake Pkwy Ste 290
Peachtree Corners, GA 300711136
Authorized official
Henry Rankin Dallam, DMD
President
📞 7703312529
Specialties
-
Dentist PrimaryThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | DN013071 | GA DENTAL LICENSE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Orthodontic Care of Georgia
Practice context
Single-site organization. Only one practice location on file.
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