Provider Demographics
NPI:1982418448
Name:AFFORDABLE DENTURES & IMPLANTS OF GEORGIA II, LLC
Entity type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS OF GEORGIA II, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:706-335-7728
Mailing Address - Street 1:287 STEVEN B TANGER BLVD
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:GA
Mailing Address - Zip Code:30529-3572
Mailing Address - Country:US
Mailing Address - Phone:706-335-7728
Mailing Address - Fax:
Practice Address - Street 1:287 STEVEN B TANGER BLVD
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:GA
Practice Address - Zip Code:30529-3572
Practice Address - Country:US
Practice Address - Phone:706-335-7728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty