Paul Ivey Nettles Llc is a Dental Clinic in College Park, Georgia. It is located at 1177 Garden Walk Blvd, College Park, GA and its contact number is 770-997-9090. The authorized person for Paul Ivey Nettles Llc is Paul I Nettles
who is President of the clinic and their contact number is 770-997-9090. Other organizations associated with this clinic are Paul Ivey Nettles Llc, Vivid Smile Dental Center, The primary license number for Paul Ivey Nettles Llc is 6742 (Pediatric Dentistry) in Georgia.
Paul Ivey Nettles Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Paul Ivey Nettles Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Paul Ivey Nettles Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1177 Garden Walk Blvd, College Park,
Georgia, 30349-6245 |
| Phone: | 770-997-9090 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Paul I Nettles |
| Position: | President |
| Contact Number: | 770-997-9090 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Paul Ivey Nettles Llc clinic are as mentioned below.
| NPI Number: | 1063564078 |
| NPI Enumeration Date: | 18 Jan, 2007 |
| NPI Last Update On: | 11 Sep, 2025 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Paul Ivey Nettles Llc | General Practice Dentistry | 1063564078 |
| Vivid Smile Dental Center | General Practice Dentistry | 1720383805 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Paul Ivey Nettles Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 6742 | Georgia | Primary | |
| General Practice | 11589 | Georgia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0050949A | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Paul Ivey Nettles Llc
730 Highmeade Ter,
Alpharetta, Georgia |
| Zip: | 30005-3755 |
| Phone Number: | 770-337-0976 |
Patients can reach Paul Ivey Nettles Llc at
1177 Garden Walk Blvd, College Park, Georgia or can
call to book an appointment on 770-997-9090.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.