NPI age
9 years
Enumerated 2016-12-02
● Active Type 2 · Organization
Pcp Dental Llc
Pcp Dental Llc is 1 of 2660 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
La Duc
Provider Relations
Last NPPES update
2016-12-02
Source: monthly bulk 2026-05
How this organization compares
Across 2660 active dentist providers in Georgia.
NPI age
9 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-12Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
890 Dawsonville Hwy, Ste F
Gainesville, GA 305012607
Mailing address
Po Box 3189
Syracuse, NY 132203189
Authorized official
Jennifer La Duc
Provider Relations
📞 3154546000
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Theresa Dang, OD Optometrist NPI 1508726639
Specialties
-
Dentist PrimaryA 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Aspen Dental
Practice context
Multi-provider organization. 1 individual provider 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.