P Praxis·MD
● Active Type 2 · Organization Subpart

Fairview Dental Llc

Clinic/Center·Ellenwood, GA· NPI 1891280673 · Enumerated 2018 · 7 years on NPI
Fairview Dental Llc is 1 of 507 clinic/center organizations in Georgia.
NPI age
7 years
Enumerated 2018-06-25
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Patel
Dentist
Last NPPES update
2018-06-25
Source: monthly bulk 2026-05

How this organization compares

Across 507 active clinic/center providers in Georgia.

NPI age
7 years
≈ at median (6 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-06Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
210 Fairview Rd
Ellenwood, GA 302942704
📞 2817285042
Mailing address
210 Fairview Rd
Ellenwood, GA 302942704
📞 2817285042

Authorized official

Ami Patel, DDS
Dentist
📞 2817285042

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #DN015055 taxonomy 261QD0000X

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

Subpart of Amtech Dental Llc.

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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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