Muscogee Dentistry, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

DN013193 Issued in GA

Legal business name

MUSCOGEE DENTISTRY, P.C.

Practice address

3619 Calvin Dr
Columbus, GA 31904-7915

Phone

(706) 940-0528

Fax

(706) 940-0571

NPI assigned

Mar 27, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrea Shawnki Trice, D.M.D

Title

President

Phone

(770) 880-9680

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459036800000",
    "number": "1013379163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 CALVIN DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047915",
            "telephone_number": "706-940-0528",
            "fax_number": "706-940-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 CALVIN DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047915",
            "telephone_number": "706-940-0528",
            "fax_number": "706-940-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCOGEE DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-27",
        "last_updated": "2016-03-27",
        "status": "A",
        "authorized_official_last_name": "TRICE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "SHAWNKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-880-9680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Murray, CNA
• India Murrell
• Marlon E Murrell, DMD
• Muscogee Ambulance LLC
• Muscogee County School District
• Muscogee Emergency Group, LLC
• Muscogee Hospitalist Services, LLC
• Muscogee Physician Services LLC
• James Stephen Muse, LPC, LMFT
• Brock Musick

• Dentist in Columbus, GA
• Providers in Columbus, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.