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Edelweiss Pd, LLC

Dental Clinic/Center in Watkinsville, GA · enumerated 2024 · authorized official Brian Jock, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104651900

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Registry record

Entity type Organization (Type 2)
Legal business name Edelweiss Pd, LLC
Practice address 1360 Caduceus Way Ste 103, Watkinsville, GA, 30677
Enumeration date Sep 3, 2024
Last updated in NPPES Sep 3, 2024

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Brian Jock
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Edelweiss Pd, LLC?
The NPI for Edelweiss Pd, LLC is 1104651900, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Edelweiss Pd, LLC?
NPPES lists Brian Jock (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-03.