NPI age
4 years
Enumerated 2021-12-06
● Active Type 2 · Organization
Providence Dental Spa Of Newnan, Llc
Providence Dental Spa Of Newnan, 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
Mann
Managing Partner
Last NPPES update
2021-12-06
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
4 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-12Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
166 Jefferson Pkwy
Newnan, GA 302635822
Mailing address
225 N MacOn St
MacOn, GA 312106562
Authorized official
Paul Jason Mann, DMD
Managing Partner
📞 7705507741
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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