P Praxis·MD
● Active Type 2 · Organization

Advanced Dental Arts, Llc

Clinic/Center·MacOn, GA· NPI 1679969380 · Enumerated 2015 · 11 years on NPI
Advanced Dental Arts, Llc is 1 of 507 clinic/center organizations in Georgia.
NPI age
11 years
Enumerated 2015-04-09
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Othman
Owner
Last NPPES update
2015-04-09
Source: monthly bulk 2026-05

How this organization compares

Across 507 active clinic/center providers in Georgia.

NPI age
11 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-04Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
4705 Northside Dr, Suite 100
MacOn, GA 312101698
📞 4782076939fax 4782549638
Mailing address
4705 Northside Dr, Suite 100
MacOn, GA 312101698
📞 4782076939fax 4782549638

Authorized official

Samer Mufid Othman, D.D.S.
Owner
📞 4782076939

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #DN014686 taxonomy 261QD0000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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