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

Ga Southern Dental PPO

Organization Dentist · NPI 1215891049

Ga Southern Dental PPO is a Dentist in Columbus, Georgia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

7407 N Lake Loop
Columbus, GA 31909-2577
Phone: (706) 323-8811
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 number1215891049
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGa Southern Dental PPO
Authorized official Erika Menjivar — Credentialing Manager · (469) 596-6137
Other names Adams Family And Cosmetic Dentistry
NPI enumeratedDecember 15, 2025
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address5830 Granite Pkwy Ste 780, Plano, TX 75024-6775

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