Claxton Family Dentistry LLC
Organization Active NPI Dentist · Claxton, GA
NPI 1073963476 · NPPES record last updated Jul 3, 2019
Key facts
- NPI
- 1073963476
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- CLAXTON FAMILY DENTISTRY LLC
- Practice address
- 201 E Long St
Claxton, GA 30417-1409 - Phone
- (912) 739-1595
- NPI assigned
- Jun 16, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Zackary Bentley, DMD
- Title
- Owner
- Phone
- (912) 687-5047
Corporate family (same tax ID) 5
Practitioners 4
-
Lee Joshua Martin, D.M.D.
-
Christian Walker, DMD
National Provider Directory
- Tax ID family
- Claxton Family Dentistry LLC
Locations
201 E Long St
Claxton, GA 30417
Phone (912) 739-1595
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
201 E Long St
Claxton, GA 30417-1409
Mailing address
201 E Long St
Claxton, GA 30417-1409
Phone (912) 739-1595
Other providers in Claxton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.