Advanced Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011637 Issued in GA

Legal business name

ADVANCED DENTAL CARE

Practice address

3211 Wildwood Plantation Dr
Valdosta, GA 31605-1042

Phone

(229) 242-4441

Fax

(229) 242-4471

NPI assigned

Oct 22, 2009

Last updated

Oct 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Ashley Moorman, DMDNPI 1831236181

Title

Owner/Dentist

Phone

(229) 242-4441

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Ashley Moorman, DMD

  • General Practice Dentistry
  • Valdosta, GA
  • NPI 1831236181
  NPD (past) Authorized official
• John Barclay Woodward III, DMD

  • General Practice Dentistry
  • Valdosta, GA
  • NPI 1699812958
  NPD (past)

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1104152404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 WILDWOOD PLANTATION DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051042",
            "telephone_number": "229-242-4441",
            "fax_number": "229-242-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 WILDWOOD PLANTATION DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051042",
            "telephone_number": "229-242-4441",
            "fax_number": "229-242-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "MOORMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "229-242-4441",
        "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": "DN011637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynnette Adams
• Meredith L Adams, CRNA
• Evi Addoh
• Felicia Renee Adkins, APRN, FNP-C
• Adoration Home Health Care Georgia, LLC (Adoration Home Health)
• Advanced Hearing Solutions of Ga and FL, LLC
• Advanced Mobility, Inc
• Affinity Health Group
• Affordable Dentures & Implants - Valdosta II, P.C.
• Affordable Dentures & Implants - Valdosta IV, P.C. (Affordable Dentures & Implants - Valdosta)

• General Practice Dentistry in Valdosta, GA
• Providers in Valdosta, 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 Oct 22, 2009; 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.