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

Heartland Dental Care of Georgia, PC

Organization General Practice Dentistry · NPI 1639966500

Heartland Dental Care of Georgia, PC is a General Practice Dentistry in Fayetteville, Georgia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Howard Ln
Fayetteville, GA 30215-1849
Phone: (770) 461-9935
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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 number1639966500
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHeartland Dental Care of Georgia, PC
Authorized official Hillary Thull — Credentialing Coordinator · (217) 540-8946
Other names Line Creek Dental Care
NPI enumeratedApril 23, 2025
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025
Mailing address100 Howard Ln, Fayetteville, GA 30215-1849

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