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

Macon Periodontics and Implant Dentistry, LLC

Organization Periodontics · NPI 1457606881

Macon Periodontics and Implant Dentistry, LLC is a Periodontics in Macon, Georgia. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1923 Hardeman Ave
Macon, GA 31201-1162
Phone: (478) 742-4254
Fax: (478) 742-1457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1457606881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kay Willis — Business Coordinator · (478) 742-4254
NPI enumeratedJuly 23, 2012
Last updated in NPPESJuly 23, 2012
Mailing address1923 Hardeman Ave, Macon, GA 31201-1162

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