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

Ingleside Dental Assoicates, PC

Organization Dentist · NPI 1780712224

Ingleside Dental Assoicates, PC is a Dentist in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
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

2440 Ingleside Ave
Macon, GA 31204-2088
Phone: (478) 743-3441
Fax: (478) 743-1542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0200082 (GA)

Record details

NPI number1780712224
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Roberson — Owner · (478) 743-3441
NPI enumeratedFebruary 28, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2440 Ingleside Ave, Macon, GA 31204-2088

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