P Praxis·MD
● Active Type 2 · Organization

Northside Family Dentistry

Dentist·MacOn, GA· NPI 1417106873 · Enumerated 2008 · 17 years on NPI
Northside Family Dentistry is 1 of 2660 dentist organizations in Georgia.
NPI age
17 years
Enumerated 2008-09-10
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Watson
General Dentistry
Last NPPES update
2008-09-10
Source: monthly bulk 2026-05

How this organization compares

Across 2660 active dentist providers in Georgia.

NPI age
17 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-09Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
3298 Northside Dr
MacOn, GA 312102553
📞 4784751976fax 4784751946
Mailing address
3298 Northside Dr
MacOn, GA 312102553
📞 4784751976fax 4784751946

Authorized official

Clinton M Watson, DDS
General Dentistry
📞 4784751976

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    taxonomy 122300000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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