Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dyess Parkway Dental, LLC

Organization General Practice Dentistry · NPI 1275898900

Dyess Parkway Dental, LLC provides General Practice Dentistry in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
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

4045 Jimmie Dyess Pkwy Ste 103
Augusta, GA 30909-9492 Not confirmed with CMS for 14 years — call before visiting
Phone: (706) 868-4200
Fax: (706) 868-4717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6539 (GA)

Record details

NPI number1275898900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fred Hannan — Dentist · (706) 868-4200
NPI enumeratedJuly 9, 2012
Last updated in NPPESJuly 9, 2012
Mailing address4045 Jimmie Dyess Pkwy Ste 103, Augusta, GA 30909-9492

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