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Active NPI 1285431767 Individual Practitioner Male Practitioner

Maxwell Allen Yanken

Dentist • Jefferson, GA

Professional Overview & Biography Verified Profile Summary

Maxwell Yanken is a registered healthcare professional specializing in Dentist in Jefferson, GA. Practice services are available at 1689 OLD PENDERGRASS RD STE 310 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1689 Old Pendergrass Rd Ste 310

Jefferson, GA 305492716

Telephone 7063670010

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jefferson, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Jefferson, GA (2164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA DN123800

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.

Secondary Practice Locations

426 Spring St Se

Gainesville, GA 305013738

Phone: 7702970401

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1669212767

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2025

Dentist (License #DN123800 in GA)

NPI Profile Active March 03, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2025

Registered at 1689 OLD PENDERGRASS RD STE 310, JEFFERSON, GA 305492716 (Tel: 7063670010)

📍
Updated Business Mailing Address March 03, 2025

Registered at 569 TURKEY CREEK CIR, DUBLIN, GA 310212099 (Tel: 4784841661)

👤
Provider Name / Credentials Updated March 03, 2025

Recorded as MAXWELL YANKEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 03, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285431767
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2025
Last Update: June 30, 2025
Sole Proprietor: No

Mailing Address

569 Turkey Creek Cir

Dublin, GA 310212099

Phone: 4784841661

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.