NPIMap

Organization Active NPI

Jesse F. McMillan DMD LLC

  • Dental Clinic/Center
  • Adel, GA
National Provider Identifier
1154074698
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JESSE F. MCMILLAN DMD LLC
Practice address
130 S Parrish Ave
Adel, GA 31620-2642
Phone
(229) 896-4166
Fax
(229) 896-4731
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Dr. Jesse Franklin McMillan, DMDNPI 1316384415
Title
President
Phone
(229) 896-4166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

130 S Parrish Ave
Adel, GA 31620-2642

Mailing address

130 S Parrish Ave
Adel, GA 31620-2642
Phone (229) 896-4166

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@hmdentistry.com Direct

National Provider Directory

National Provider Directory

Locations

130 S Parrish Ave
Adel, GA 31620
Phone (229) 896-4166

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1154074698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S PARRISH AVE",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316202642",
            "telephone_number": "229-896-4166",
            "fax_number": "229-896-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S PARRISH AVE",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316202642",
            "telephone_number": "229-896-4166",
            "fax_number": "229-896-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE F. MCMILLAN DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-896-4166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@hmdentistry.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "130 S Parrish Ave",
            "city": "Adel",
            "state": "GA",
            "country_code": "US",
            "postal_code": "316202642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Adel, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.