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

Providence Dental Spa of Newnan, LLC

Organization Dental Clinic/Center · NPI 1679231831

Providence Dental Spa of Newnan, LLC is a Dental Clinic/Center in Newnan, Georgia. Registered with an NPI since 2021.

In the registry since
2021
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

166 Jefferson Pkwy
Newnan, GA 30263-5822
Phone: (770) 252-1300
Fax: (770) 252-1763
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1679231831
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Mann — Managing Partner · (770) 550-7741
NPI enumeratedDecember 6, 2021
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021
Mailing address225 N Macon St, Macon, GA 31210-6562

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