NPI age
19 years
Enumerated 2007-04-25
● Active Type 2 · Organization
Old Milton Dental
Old Milton Dental 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
Mazer
Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 2660 active dentist providers in Georgia.
NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
4165 Old Milton Pkwy, Suite 190
Alpharetta, GA 300054468
Mailing address
4165 Old Milton Pkwy, Suite 190
Alpharetta, GA 300054468
Authorized official
Corey J Mazer, DDS
Owner
📞 6786240370
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Joseph Bauer, M.D. Plastic Surgery NPI 1942343454
- Paige Berkey Nurse Practitioner NPI 1194577403
- Damon Bond, DMD Dentist NPI 1326267402
- Jordan Dupree, AGPCNP-C Plastic Surgery NPI 1730049602
- Dean Fardo, M.D. Plastic Surgery NPI 1487797361
- Timothy Griner, M.D. Anesthesiology NPI 1306802772
- Larry Gurley, DDS Dentist NPI 1700859832
- Corey Mazer, DDS Dentist NPI 1902919509
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...
Practice context
Multi-provider organization. 8 individual providers 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 →
- 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.