NPIMap

Organization Active NPI

Islands Family Dental, LLC

  • Dentist
  • Savannah, GA
National Provider Identifier
1154920445
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ISLANDS FAMILY DENTAL, LLC
Practice address
3 Wilmington Village Way
Savannah, GA 31410-3700
Phone
(912) 897-2232
NPI assigned
Oct 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
Ryan Fulchi, DDSNPI 1639490675
Title
Manager
Phone
(912) 234-2206

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3 Wilmington Village Way
Savannah, GA 31410-3700

Mailing address

3 Wilmington Village Way
Savannah, GA 31410-3700

National Provider Directory

National Provider Directory

Locations

3 Wilmington Village Way
Savannah, GA 31410
Phone (912) 897-2232

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": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1154920445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WILMINGTON VILLAGE WAY",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314103700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WILMINGTON VILLAGE WAY",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314103700",
            "telephone_number": "912-897-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLANDS FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "FULCHI",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "912-234-2206",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.