Compassionate Mobile Dentists of Georgia

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013080 Issued in GA

Legal business name

COMPASSIONATE MOBILE DENTISTS OF GEORGIA

Practice address

3907 Upper River Rd
Gray, GA 31032-3821

Phone

(478) 952-7522

NPI assigned

Feb 6, 2014

Last updated

Feb 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margaret G Moore, DMD

Title

Cmo

Phone

(478) 952-7522

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1134543515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27328",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312217328",
            "telephone_number": "478-952-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 UPPER RIVER RD",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310323821",
            "telephone_number": "478-952-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE MOBILE DENTISTS OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "478-952-7522",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coliseum Health Group LLC (Gray Family Health)
• Ansley Stewart Comer, PT, DPT
• Community Health Care Systems, Inc (Community Health Care Systems, Inc-Jones)
• Community Primary Care of Georgia LLC
• Community Transport, LLC
• McKenzie Olivia Compton
• N'Kema Cooper, NP-C
• Covid Solutions
• Samantha Craft, CPS
• Maria Flordesol Abuloc Culpa-Bondal, RN, PMHNP-BC

• General Practice Dentistry in Gray, GA
• Providers in Gray, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.