Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Aesthetic Dental Assoc of NE Ga LLC

Organization Dentist · NPI 1457793895

Aesthetic Dental Assoc of NE Ga LLC provides Dentist services in Bogart, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1520A Jennings Mill Rd
Bogart, GA 30622-2543 Not confirmed with CMS for 13 years — call before visiting
Phone: (706) 353-1958
Fax: (706) 353-3939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN007721 (GA)

Record details

NPI number1457793895
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official R. George — Owner · (706) 353-1958
NPI enumeratedJuly 26, 2013
Last updated in NPPESJuly 26, 2013
Mailing address1520a Jennings Mill Rd, Bogart, GA 30622-2543

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