Loretto Madeleine Grier-Cudjoe, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN010786 Issued in GA

Practice address

1625 Jeffersonville Rd
Macon, GA 31217-4342

Phone

(478) 719-5311

NPI assigned

Feb 25, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Loretto Madeleine Grier Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1134441652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 JEFFERSONVILLE RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312174342",
            "telephone_number": "478-719-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 JEFFERSONVILLE RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312174342",
            "telephone_number": "478-719-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIER-CUDJOE",
        "first_name": "LORETTO",
        "middle_name": "MADELEINE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN010786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORETTO",
            "last_name": "GRIER",
            "middle_name": "MADELEINE",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Herbert Sam Greenwald Jr., M.D.
• Nataly Johana Greeson, M.D.
• Payton Greeson
• Kristen Fay Grega
• Greys Point Emergency Physicians LLC
• Valarie White Grier
• Amy Thompson Griffin, FNP-C
• Ann Griffin
• Brenda Kay Griffin, PMHNP
• Brittany Griffin

• Dentist in Macon, GA
• Providers in Macon, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.