Stephen R. Byrd, D.D.S.,P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN009024 Issued in GA

Legal business name

STEPHEN R. BYRD, D.D.S.,P.C.

Practice address

2755 Pine St
Unadilla, GA 31091-7703

Phone

(478) 627-3283

Fax

(478) 627-9010

NPI assigned

Nov 5, 2014

Organization subpart

No

Name

Candi McLeod

Title

Office Manager

Phone

(478) 627-3283

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2014.

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1134525041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 PINE ST",
            "city": "UNADILLA",
            "state": "GA",
            "postal_code": "310917703",
            "telephone_number": "478-627-3283",
            "fax_number": "478-627-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 PINE ST",
            "city": "UNADILLA",
            "state": "GA",
            "postal_code": "310917703",
            "telephone_number": "478-627-3283",
            "fax_number": "478-627-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R. BYRD, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "CANDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-627-3283"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN009024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Unadilla, GA
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.