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

Mossy Oak Dental, LLC

Organization Dental Clinic/Center · NPI 1992290415

Mossy Oak Dental, LLC is a Dental Clinic/Center in Leesburg, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018
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

119 Carlton Dr
Leesburg, GA 31763-5652
Phone: (229) 436-7231
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence DN012008 (GA)

Record details

NPI number1992290415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Ford — Dentist/Owner · (229) 436-7231
NPI enumeratedJune 27, 2018
Last updated in NPPESJune 27, 2018
Mailing addressPo Box 71307, Albany, GA 31708-1307