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

Professional Dental Alliance of Covington Elm Street, LLC

Organization General Practice Dentistry · NPI 1174180319

Professional Dental Alliance of Covington Elm Street, LLC provides General Practice Dentistry in Covington, 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

3162 Elm St NE
Covington, GA 30014-2461
Phone: (678) 625-7505
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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 number1174180319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Barrette — Credentialing Specialist · (724) 698-2997
NPI enumeratedMay 23, 2019
Last updated in NPPESMay 23, 2019
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

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