Dental Center of Baxley

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015413 Issued in GA

Legal business name

DENTAL CENTER OF BAXLEY

Practice address

51 Walnut Street
Baxley, GA 31513

Phone

(912) 367-4314

NPI assigned

Jul 12, 2017

Last updated

Jul 12, 2017By 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

Travis Garnto, DMD

Title

Dentist

Phone

(912) 367-4314

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Robert D Drawdy, DMD

  • General Practice Dentistry
  • Baxley, GA
  • NPI 1649290586
  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499817600000",
    "number": "1023530953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WALNUT ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WALNUT STREET",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "31513",
            "telephone_number": "912-367-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CENTER OF BAXLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A",
        "authorized_official_last_name": "GARNTO",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "912-367-4314",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CRH Physician Practices LLC (CRH Surgical Group)
• Manuel B Cuesta, M.D.
• Kimberly Ann Davis, FNPBC
• Amanda Nicole Deen, MSN, FNP-BC
• Deeper Waters Emdr
• Ray Ashley Dixon, PHARMD
• Doctors of Compassionate Services
• Robert D Drawdy, DMD
• Dva Renal Healthcare Inc (Baxley Dialysis)
• E Buford Kesler Dba

• General Practice Dentistry in Baxley, GA
• Providers in Baxley, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.