Organization Active NPI

Savannah Dental Associates,P.C.

  • General Practice Dentistry
  • Savannah, GA
National Provider Identifier
1104186329
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8412 Issued in GA
Legal business name
SAVANNAH DENTAL ASSOCIATES,P.C.
Practice address
413 W Duffy St
Savannah, GA 31401-6716
Phone
(912) 234-5003
Fax
(912) 234-2844
NPI assigned
May 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Philip A Cooper
Title
Office Manager
Phone
(912) 234-5003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8412 GA Primary

Addresses

Primary practice location

413 W Duffy St
Savannah, GA 31401-6716

Mailing address

413 W Duffy St
Savannah, GA 31401-6716
Phone (912) 234-5003

National Provider Directory

National Provider Directory

Locations

413 W Duffy St
Savannah, GA 31401
Phone (912) 234-5003

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1104186329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W DUFFY ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314016716",
            "telephone_number": "912-234-5003",
            "fax_number": "912-234-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W DUFFY ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314016716",
            "telephone_number": "912-234-5003",
            "fax_number": "912-234-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH DENTAL ASSOCIATES,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-234-5003"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.