Jeff Davis Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8464 Issued in GA

Legal business name

JEFF DAVIS DENTAL, LLC

Practice address

265 N Jeff Davis Dr
Suite #1
Fayetteville, GA 30214-1625

Phone

(678) 817-5900

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Williams, DMDNPI 1851311534

Title

Owner

Phone

(678) 817-5900

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Cheney Williams, D.M.D.

  • General Practice Dentistry
  • Fayetteville, GA
  • NPI 1851311534
  NPD (past) Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282953600000",
    "number": "1043348345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N JEFF DAVIS DR",
            "address_2": "SUITE #1",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N JEFF DAVIS DR",
            "address_2": "SUITE #1",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141625",
            "telephone_number": "678-817-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF DAVIS DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2010-08-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-817-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel A James Jr., DMD
• Ste'la Song James
• Gregory Jarrette, NP
• Sandra Jean-Baptiste
• Marjani Jean-Philippe
• Kelly Jefferson
• Monica Jenkins, PT
• Stephanie Nicole Jenkins, MA CCC-SLP
• Jennifer Corbitt Freeman, M.D., P.C.
• John a Keller, MD, PC

• General Practice Dentistry in Fayetteville, GA
• Providers in Fayetteville, 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 Aug 28, 2010; 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.