Bullsboro Drive Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BULLSBORO DRIVE DENTAL GROUP

Practice address

148 Bullsboro Dr
Newnan, GA 30263-1018

Phone

(770) 251-4370

Fax

(770) 251-9735

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Christie Sligh

Title

Office Manager

Phone

(770) 251-4370

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174669410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 BULLSBORO DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631018",
            "telephone_number": "770-251-4370",
            "fax_number": "770-251-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 BULLSBORO DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631018",
            "telephone_number": "770-251-4370",
            "fax_number": "770-251-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLSBORO DRIVE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLIGH",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-251-4370"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zanetta Bryant, NP-C
• Bsmith Consulting Group, LLC
• Allison Buchanan, LPC
• Eshan Budhwani, PA-C
• Krystal S Bugden, PHARM D
• Jordan Brooke Bunn, CCC-SLP
• Rebecca Ryan Bunt, CRNA
• Dianna Johnson Bureau, PA
• Emily Sprayberry Burg, PHARM.D., RPH
• Harry Joseph Burg III, RPH, PHARMD

• General Practice Dentistry in Newnan, GA
• Providers in Newnan, 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 Aug 22, 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.