Active NPI
Toccoa Family Dentistry LLC
- Dental Clinic/Center
- Toccoa, GA
National Provider Identifier
1154130904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- TOCCOA FAMILY DENTISTRY LLC
- Practice address
- 1301 Big a Rd
Toccoa, GA 30577-6030 - Phone
- (706) 886-7433
- NPI assigned
- Jan 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Casey Castle
- Title
- Director of Payor Contracting
- Phone
- (912) 732-1504
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1301 Big a Rd
Toccoa, GA 30577-6030
Mailing address
1301 Big a Rd
Toccoa, GA 30577-6030
Phone (706) 886-7433
National Provider Directory
National Provider DirectoryLocations
1301 Big a Rd
Toccoa, GA 30577
Phone (662) 415-0936
Practitioners & affiliated clinicians
Practitioners 1
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": "1736121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1154130904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BIG A RD",
"city": "TOCCOA",
"state": "GA",
"postal_code": "305776030",
"telephone_number": "706-886-7433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BIG A RD",
"city": "TOCCOA",
"state": "GA",
"postal_code": "305776030",
"telephone_number": "706-886-7433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOCCOA FAMILY DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A",
"authorized_official_last_name": "CASTLE",
"authorized_official_first_name": "CASEY",
"authorized_official_title_or_position": "DIRECTOR OF PAYOR CONTRACTING",
"authorized_official_telephone_number": "912-732-1504"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toccoa, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.