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

Aesthetic Dental Assoc of NE Ga LLC

Organization Dentist · NPI 1457793895

Aesthetic Dental Assoc of NE Ga LLC is a Dentist in Bogart, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1520A Jennings Mill Rd
Bogart, GA 30622-2543
Phone: (706) 353-1958
Fax: (706) 353-3939
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN007721 (GA)

Record details

NPI number1457793895
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official R. George — Owner · (706) 353-1958
NPI enumeratedJuly 26, 2013
Last updated in NPPESJuly 26, 2013
Mailing address1520a Jennings Mill Rd, Bogart, GA 30622-2543

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