MDG - Griffin Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MDG - GRIFFIN DENTAL LLC

Practice address

102 Crescent W Ste B
Griffin, GA 30224-4862

Phone

(770) 412-8636

Fax

(770) 412-7019

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Mr. James C McWhorter, MBA

Title

Owner

Phone

(801) 592-4360

Specialties & licenses 1

Addresses

Other names 1

• Doctor Laura Durham DDS Doing business as

Locations

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1134836364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CRESCENT W STE B",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244862",
            "telephone_number": "770-412-8636",
            "fax_number": "770-412-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CRESCENT W STE B",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244862",
            "telephone_number": "770-412-8636",
            "fax_number": "770-412-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDG - GRIFFIN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "MCWHORTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-592-4360",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctor Laura Durham DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McIntosh Trail CSB
• McIntosh Trail Family Practice
• McIntosh Trail Management Services Inc
• Tracy Lashon McLean, LAPC
• David James McMurtry, PT, MPT
• Medsurg Vision LLC
• Abigail Vanhouten Meeks, CCC-SLP
• Claire Mangrum Meeks, DDS
• Pravin Chimanlal Mehta, MD
• Jamila Lanae Mendez, FNP-C

• Dental Clinic/Center in Griffin, GA
• Providers in Griffin, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.