NPI age
8 years
Enumerated 2018-01-11
● Active Type 2 · Organization
Professional Dental Alliance Of Georgia, Llc
Professional Dental Alliance Of Georgia, Llc is 1 of 4309 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
8
7 secondary on file
Status
Active
No deactivations on record
Authorized official
Matta
Owner
Last NPPES update
2018-03-17
Source: monthly bulk 2026-05
How this organization compares
Across 4309 active dentist providers in Georgia.
NPI age
8 years
↓ 10 yr below median
Practice locations
8
7 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-01Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
3466 Cobb Pkwy Nw Ste 170
Acworth, GA 301015768
Mailing address
11 S Mill St
New Castle, PA 161013680
Additional practice locations
7 secondary locations on file with NPPES.
Location 2
10373 Industrial Blvd Ne
Covington, GA 300141403
Location 3
1867 Jonesboro Rd Ste 6
McDonough, GA 302536099
Location 4
4353 Atlanta Hwy Ste 300
Loganville, GA 300523232
Location 5
3230 Lawrenceville Suwanee Rd, 300
Suwanee, GA 30024
Location 6
740 Ferst Dr Nw Suite 207
Atlanta, GA 303220001
Location 7
4374 Atlanta Hwy Ste 109
Hiram, GA 301411849
Location 8
5304 Windward Pkwy Ste 107
Alpharetta, GA 300043828
Authorized official
Andrew Matta
Owner
📞 7246982500
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Warren Kritsanachaiwanich, DMD Dentist NPI 1003424920
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address. Plus 7 secondary practice locations.
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Request a quote →How to verify this organization
- 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.