NPI age
11 years
Enumerated 2015-02-02
● Active Type 2 · Organization
MacOn Ga Orthodontics
MacOn Ga Orthodontics is 1 of 526 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Oliver
Practice Administrator
Last NPPES update
2015-02-02
Source: monthly bulk 2026-05
How this organization compares
Across 526 active dentist providers in Georgia.
NPI age
11 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-02Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
3312 Northside Dr, Building B # 150
MacOn, GA 312102500
Mailing address
3312 Northside Dr, Building B # 150
MacOn, GA 312102500
Authorized official
Brenda Holland Oliver
Practice Administrator
📞 4787467686
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Leshannon Cotton Behavior Technician NPI 1073246864
- Terriano Dobbs Specialist NPI 1417433798
- Yashica Murphy, LPN Licensed Practical Nurse NPI 1184036345
- Anthony Negri, R.N. Registered Nurse NPI 1528307824
- Gail West, LPC Counselor NPI 1518251529
Specialties
-
Dentist PrimaryThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
Practice context
Multi-provider organization. 5 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 →
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