NPI age
7 years
Enumerated 2018-06-27
● Active Type 2 · Organization
Mossy Oak Dental, Llc
Mossy Oak Dental, Llc is 1 of 507 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ford
Dentist/owner
Last NPPES update
2018-06-27
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
119 Carlton Dr
Leesburg, GA 317635652
Mailing address
Po Box 71307
Albany, GA 317081307
Authorized official
Alan Dale Ford, DMD
Dentist/owner
📞 2294367231
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 507 Clinic/Center providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
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.