Plantation Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN008285 Issued in GA

Legal business name

PLANTATION DENTAL ASSOCIATES

Practice address

300 Main St
Ste 101
St Simons Island, GA 31522-1666

Phone

(912) 638-9001

Fax

(912) 634-9819

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jack Heyward Melton, DMD

Title

Owner/Dentist

Phone

(912) 638-9001

Specialties & licenses 1

Addresses

Other names 1

• Dr Jack H Melton Doing business as

Locations

Practitioners 1

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

• Charles Thomas Hopkins III, DMD

  • Dentist
  • Saint Simons Island, GA
  • NPI 1811330301
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1063505113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "address_2": "STE 101",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221666",
            "telephone_number": "912-638-9001",
            "fax_number": "912-634-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "address_2": "STE 101",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221666",
            "telephone_number": "912-638-9001",
            "fax_number": "912-634-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "HEYWARD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "912-638-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN008285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Jack H Melton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physical Therapy Plus, Inc
• Physical Therapy Plus, Inc
• Michael C Pinell, MD
• Emilee Pitt, DPT, PT
• Samantha Noelle Pitts, DPT
• Cali Ann Pushee, PT, DPT
• Jessie Lee Ralston, DPT
• Aubrie Lynn Reedy
• Barbara Kast Reighard, D.D.S.
• Nancy Vance Richardson, CCC-SLP

• General Practice Dentistry in St Simons Island, GA
• Providers in St Simons Island, 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 Jun 17, 2008; 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.