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

Professional Dental Alliance of Athens, LLC

Organization Dentist · NPI 1174097802

Professional Dental Alliance of Athens, LLC provides Dentist services in Athens, Georgia. Registered with an NPI since 2019.

In the registry since
2019
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

1155 Cedar Shoals Dr
Athens, GA 30605-3592
Phone: (706) 546-8720
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1174097802
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Hamilton — Revenue Cycle Support Specialist · (724) 698-2064
NPI enumeratedJanuary 16, 2019
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024
Mailing address125 Enterprise Dr Ste 200, Pittsburgh, PA 15275-1223

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