Skip to content
NPISignal

Organization

Mc Dental LLC

NPI Record: ActiveDentist
NPI1174181119
Dallas, Georgia

Provider's NPPES record last updated: December 7, 2021

Overview

Entity Type
Organization
NPI
1174181119
Primary Specialty
Dentist
Practice Location
Dallas, Georgia
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 12:22 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dentist

    Dental Providers

    Primary

    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

    Taxonomy code 122300000X

Practice Locations

Practice Location

3615 Charles Hardy Pkwy Ste 200

Dallas, Georgia 30157-9472

Phone: (770) 767-5546

Additional Practice Location

125 Pavilion Pkwy Ste A

Fayetteville, Georgia 30214-4098

Phone: (770) 719-0932

Fax: (770) 719-0940

Additional Practice Location

1438 Dogwood Dr. Se

Conyers, Georgia 30013

Phone: (770) 602-4183

Fax: (833) 314-0488

Additional Practice Location

4221 Atlanta Hwy Ste 101

Loganville, Georgia 30052-7316

Phone: (770) 554-1167

Fax: (770) 554-1185

Additional Practice Location

137 Willow Ln

Mcdonough, Georgia 30253-6574

Phone: (470) 483-0413

Fax: (770) 954-0647

Additional Practice Location

3245 Lawrenceville Suwanee Rd Ste 100

Suwanee, Georgia 30024-6541

Phone: (678) 546-8649

Fax: (678) 546-8615

Additional Practice Location

2042 W Spring St

Monroe, Georgia 30655-3164

Phone: (770) 266-5676

Fax: (770) 266-5985

Additional Practice Location

6435 Bells Ferry Rd Ste 110

Woodstock, Georgia 30189-2317

Phone: (770) 928-0682

Fax: (770) 928-0646

Additional Practice Location

210 Cobb Pkwy S Ste 100

Marietta, Georgia 30060-6509

Phone: (770) 427-9151

Fax: (770) 427-9154

Record Information

Enumeration Date
June 4, 2019
Provider's NPPES Record Last Updated
December 7, 2021
Certification Date
December 7, 2021
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue