John and Paul Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN012737 Issued in GA

Legal business name

JOHN AND PAUL DENTISTRY, LLC

Doing business as

Ambrose Pediatric Dentistry

Practice address

160 Pierce Ave
Macon, GA 31204-2871

Phone

(478) 743-0901

NPI assigned

Feb 10, 2016

Last updated

Feb 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tina Locher

Title

Office Manager

Phone

(478) 743-0901

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Ambrose Pediatric Dentistry Doing business as

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Hutchings Ambrose Jr., DMD

  • Pediatric Dentistry
  • Atlanta, GA
  • NPI 1700972395

  General Practice

  NPD (past)
• Erika Lattimore Austin

  • Dentist
  • Dublin, GA
  • NPI 1912632506
  NPD (past)
• Jaimin Desai, DMD

  • General Practice Dentistry
  • Macon, GA
  • NPI 1053972141
  NPD (past)
• Jacob Edward Woods, DMD

  • Dentist
  • Macon, GA
  • NPI 1306520150
  NPD (past)

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1023476652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 PIERCE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042871",
            "telephone_number": "478-743-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 PIERCE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042871",
            "telephone_number": "478-743-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN AND PAUL DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "LOCHER",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-743-0901",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013328",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN007573",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013383",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN012737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000046395",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003133063",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134015103",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292364594",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambrose Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jholder Counseling and Consultant Group, LLC
• Jimmy W Arnold, DMD
• Jode Counseling Training and Treatment Services Inc
• Susan Bragdon Johansen, LPC
• John a Wells MD PA
• John N Bowman Ddspc
• Anna Grace Johns, APRN, FNP-C
• Barry Russell Johns, M.D.
• Michael Robert Johns, PSY.D.
• Samantha Johns

• Pediatric Dentistry in Macon, GA
• Providers in Macon, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.