NPI age
6 years
Enumerated 2020-01-02
● Active Type 2 · Organization
Subpart
Georgia Dental Associates, Llc
Georgia Dental Associates, 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
Davis
Practive Admin
Last NPPES update
2020-01-03
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
6 years
≈ at median (6 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-01Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
320 Benjamin H Hill Dr Sw
Fitzgerald, GA 317508694
Mailing address
P O Drawer 877
Fitzgerald, GA 31750
Authorized official
Vicki Davis
Practive Admin
📞 2293135083
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Bahar Jalalian Dentist NPI 1689306482
- Andrea Vita Dentist NPI 1578196077
- Andrew Vita, DMD Dentist NPI 1588216261
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Georgia Dental Associates of Fitzgerald
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of Georgia Dental Associates, Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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