Joseph Chandler Entrekin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122693 Issued in GA

Practice address

302 Laurel St
Bremen, GA 30110-2124

Phone

(770) 537-4439

NPI assigned

Jun 25, 2022

Last updated

Jun 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carrollton Family Dentistry LLC

  • General Practice Dentistry
  • Carrollton, GA
  • NPI 1306714795
  NPD Authorized official
• Bremen Dental Depot LLC

  • Dental Clinic/Center
  • Bremen, GA
  • NPI 1487173217
  NPD

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656115200000",
    "number": "1073245437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 VALLEY RUN DR",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102411",
            "telephone_number": "770-537-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 LAUREL ST",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102124",
            "telephone_number": "770-537-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTREKIN",
        "first_name": "JOSEPH",
        "middle_name": "CHANDLER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-25",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Ellison
• John Endress, L.P.C
• Johannes D Engelbrecht, M.D.
• Diane Elizabeth Engels, SST-2
• Joseph Cameron Entrekin, PHARMD, CDM
• Kelley Entrekin, PHARM.D.
• Eric S. Leithner, DMD, PC
• Alyssa Morgan Eriquezzo
• Amy Jordan Eubanks, M.D.
• David Farmer, RPH

• General Practice Dentistry in Bremen, GA
• Providers in Bremen, 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 25, 2022; 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.