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

Avala Dental Providers, LLC

Organization Point of Service · NPI 1851729883

Avala Dental Providers, LLC is a Point of Service in Lilburn, 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.

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Practice location Address checks out

629 A Beaver Ruin Rd
Lilburn, GA 30047
Phone: (770) 696-4144
Fax: (470) 545-2859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Point of Service (primary) Taxonomy 305S00000X · Licence DN014034 (GA)

Record details

NPI number1851729883
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Jamison — Owner · (770) 696-4144
Other names Polish Dental Center,Llc
NPI enumeratedOctober 30, 2013
Last updated in NPPESOctober 30, 2013
Mailing address629 A Beaver Ruin Rd, Lilburn, GA 30047

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