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

Paul Ivey Nettles LLC

Organization General Practice Dentistry · NPI 1063564078

Paul Ivey Nettles LLC provides General Practice Dentistry in College Park, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
2
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

1177 Garden Walk Blvd
College Park, GA 30349-6245
Phone: (770) 997-9090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 6742 (GA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 11589 (GA)

Record details

NPI number1063564078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Nettles — President · (770) 997-9090
NPI enumeratedJanuary 18, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address730 Highmeade Ter, Alpharetta, GA 30005-3755

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