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

Heartland Dental Care of Georgia, PC

Organization General Practice Dentistry · NPI 1639966500

Heartland Dental Care of Georgia, PC provides General Practice Dentistry in Fayetteville, Georgia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Howard Ln
Fayetteville, GA 30215-1849
Phone: (770) 461-9935
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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

Record details

NPI number1639966500
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHeartland Dental Care of Georgia, PC
Authorized official Hillary Thull — Credentialing Coordinator · (217) 540-8946
Other names Line Creek Dental Care
NPI enumeratedApril 23, 2025
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025
Mailing address100 Howard Ln, Fayetteville, GA 30215-1849

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