Active NPI
Alfred Mott, D.M.D., P.C.
- General Practice Dentistry
- Tifton, GA
National Provider Identifier
1043391360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9365
- Practice address
- 231 Tift Ave N
Tifton, GA 31794-4463 - Phone
- (229) 386-8384
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9365 | GA | Primary |
Addresses
Primary practice location
231 Tift Ave N
Tifton, GA 31794-4463
Mailing address
231 Tift Ave N
Tifton, GA 31794-4463
Phone (229) 386-8384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9365 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043391360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 TIFT AVE N",
"city": "TIFTON",
"state": "GA",
"postal_code": "317944463",
"telephone_number": "229-386-8384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 TIFT AVE N",
"city": "TIFTON",
"state": "GA",
"postal_code": "317944463",
"telephone_number": "229-386-8384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTT",
"first_name": "ALFRED",
"name_prefix": "Dr.",
"credential": "D.M.D., P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "9365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tifton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.