Organization Active NPI

VBDC of Columbus LLC

  • General Practice Dentistry
  • Columbus, GA
National Provider Identifier
1124590476
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VBDC OF COLUMBUS LLC
Practice address
5448 Whittlesey Blvd Ste B
Columbus, GA 31909-7298
Phone
(478) 733-0857
Fax
(478) 254-5709
NPI assigned
Dec 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Authorized official

Name
Dr. Paul Jason Mann, DMD
Title
Owner
Phone
(478) 733-0857

Specialties & licenses 1

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

Addresses

Primary practice location

5448 Whittlesey Blvd Ste B
Columbus, GA 31909-7298

Mailing address

225 N Macon St
Macon, GA 31210-6562
Phone (478) 733-0857

Other names 1

  • Value Dental Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1124590476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N MACON ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312106562",
            "telephone_number": "478-733-0857",
            "fax_number": "478-254-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5448 WHITTLESEY BLVD STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097298",
            "telephone_number": "478-733-0857",
            "fax_number": "478-254-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VBDC OF COLUMBUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-733-0857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Value Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.