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

Paul Ivey Nettles LLC

Organization General Practice Dentistry · NPI 1063564078

Paul Ivey Nettles LLC is a General Practice Dentistry in College Park, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
2
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

1177 Garden Walk Blvd
College Park, GA 30349-6245
Phone: (770) 997-9090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 6742 (GA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 11589 (GA)

Record details

NPI number1063564078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Nettles — President · (770) 997-9090
NPI enumeratedJanuary 18, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address730 Highmeade Ter, Alpharetta, GA 30005-3755

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