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NPI 1457853210
● Active Type 2 · Organization
Pda Specialty Of Georgia, Llc
Dentist · Acworth, GA · NPI 1457853210
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Enumerated 2018 · 8 years on NPI
Pda Specialty Of Georgia, Llc is 1 of 23 dentist organizations in Georgia.
NPI age
8 years
Enumerated 2018-03-07
Primary specialty
Dentist
Practice locations
8
7 secondary on file
Status
Active
No deactivations on record
Authorized official
Marlow
Credentialing Supervisor
Last NPPES update
2018-03-17
Source: monthly bulk 2026-05
How this organization compares
Across 23 active dentist providers in Georgia.
NPI age
8 years
↓ 11 yr below median
Practice locations
8
7 secondary on file
NPI lifetime · 2018 → 2026
2018-03 Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
3466 Cobb Pkwy Nw Ste 170
Acworth, GA 301015768
📞 7702031711
Mailing address
11 S Mill St Ste 200
New Castle, PA 161013680
Additional practice locations
7 secondary locations on file with NPPES.
Location 2
740 Ferst Drive Nw Suite 207
Atlanta, GA 303220001
📞 4047332022
Location 3
5304 Windward Pkwy
Alpharetta, GA 300043827
📞 7707771911
Location 4
1867 Jonesboro Rd Ste 6
McDonough, GA 302536099
📞 6784320209
Location 5
3230 Lawrence Suwanee Rd, Suite 300
Suwanee, GA 30024
📞 7702240140
Location 6
4353 Atlanta Hwy Ste 300
Loganville, GA 300523232
📞 7704502030
Location 7
4374 Atlanta Hwy Ste 109
Hiram, GA 301411849
📞 7705059898
Location 8
10373 Industrial Blvd Ne
Covington, GA 300141403
📞 6783066000
Authorized official
Annette Marlow
Credentialing Supervisor
📞 7246982119
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Dentist
Primary
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and...
taxonomy 1223P0106X
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
Plus 7 secondary practice locations.
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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.