NPI age
12 years
Enumerated 2013-10-30
● Active Type 2 · Organization
Avala Dental Providers,llc
Avala Dental Providers,llc is 1 of 117 point of service organizations in Georgia.
Primary specialty
Point of Service
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jamison
Owner
Last NPPES update
2013-10-30
Source: monthly bulk 2026-05
How this organization compares
Across 117 active point of service providers in Georgia.
NPI age
12 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-10Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
629 A Beaver Ruin Rd
Lilburn, GA 30047
Mailing address
629 A Beaver Ruin Rd
Lilburn, GA 30047
Authorized official
Tiffany N Jamison, DMD
Owner
📞 7706964144
Specialties
-
Point of Service PrimaryThis product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 1487953741 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Polish Dental Center,LLC
Practice context
Single-site organization. Only one practice location on file.
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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.