Active NPI
Savannah Dental Associates,P.C.
- General Practice Dentistry
- Savannah, GA
National Provider Identifier
1104186329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8412
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Savannah, GA
- NPI 1922165075
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
- Savannah Chiropractic PC (Brown Chiropractic)
- Savannah Clinic Inc. (Savannah Chiropractic Center)
- Savannah Counseling & Wellness, LLC
- Savannah Counseling & Wellness, LLC
- Savannah Crossing of Journey LLC
- Savannah Dental Group, LLC
- Savannah Diabetic Supplies, Inc.
- Savannah Diagnostic Assoc PC
- Savannah Endocrine & Diabetes P.C.
- Savannah Endocrinology LLC
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.