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

Providence Dental LLC

Organization General Practice Dentistry · NPI 1295189595

Providence Dental LLC is a General Practice Dentistry in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
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

225 N Macon St
Macon, GA 31210-6562
Phone: (478) 733-0857
Fax: (478) 254-5709
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN013536 (GA)

Record details

NPI number1295189595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Mann — Owner · (478) 733-0857
NPI enumeratedApril 22, 2016
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024
Mailing address225 N Macon St, Macon, GA 31210-6562

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