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

Dyess Parkway Dental, LLC

Organization General Practice Dentistry · NPI 1275898900

Dyess Parkway Dental, LLC is a General Practice Dentistry in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
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

4045 Jimmie Dyess Pkwy Ste 103
Augusta, GA 30909-9492
Phone: (706) 868-4200
Fax: (706) 868-4717
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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 · Licence 6539 (GA)

Record details

NPI number1275898900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fred Hannan — Dentist · (706) 868-4200
NPI enumeratedJuly 9, 2012
Last updated in NPPESJuly 9, 2012
Mailing address4045 Jimmie Dyess Pkwy Ste 103, Augusta, GA 30909-9492

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