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

Pbt Dental LLC

Organization Dentist · NPI 1366916744

Pbt Dental LLC is a Dentist in Gainesville, Georgia. Registered with an NPI since 2019.

In the registry since
2019
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

590 S Enota Dr NE Ste 2
Gainesville, GA 30501-2433
Phone: (770) 536-4471
Fax: (770) 534-2174
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1366916744
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Johnson — Cro · (941) 444-0558
NPI enumeratedJanuary 18, 2019
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address590 S Enota Dr Ne Ste 2, Gainesville, GA 30501-2433

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