P Praxis·MD
● Active Type 2 · Organization

Van Derhei Implant And Prosthetics

Clinic/Center·Dacula, GA· NPI 1710281795 · Enumerated 2011 · 15 years on NPI
Van Derhei Implant And Prosthetics is 1 of 507 clinic/center organizations in Georgia.
NPI age
15 years
Enumerated 2011-01-05
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Van Derhei
Dentist
Last NPPES update
2012-07-19
Source: monthly bulk 2026-05

How this organization compares

Across 507 active clinic/center providers in Georgia.

NPI age
15 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-01Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
3590 Braselton Hwy, Ste 103
Dacula, GA 300191117
📞 6783183353fax 6783183350
Mailing address
3590 Braselton Hwy, Ste 103
Dacula, GA 300191117
📞 6783183353fax 6783183350

Authorized official

Patrick Van Derhei, DDS, MSD
Dentist
📞 6783183353

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #DN011854GA license #DN012702 taxonomy 261QD0000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • VIP Family Dentistry
    Type code 3 recorded 2011-01-05

Practice context

Single-site organization. Only one practice location on file.

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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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