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

Professional Dental Alliance of Athens, LLC

Organization Dentist · NPI 1174097802

Professional Dental Alliance of Athens, LLC is a Dentist in Athens, 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

1155 Cedar Shoals Dr
Athens, GA 30605-3592
Phone: (706) 546-8720
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 number1174097802
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Hamilton — Revenue Cycle Support Specialist · (724) 698-2064
NPI enumeratedJanuary 16, 2019
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024
Mailing address125 Enterprise Dr Ste 200, Pittsburgh, PA 15275-1223

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