Essential Dental, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ESSENTIAL DENTAL, INC.

Practice address

Essential Dental, Inc
1188 Cross Street
Fort Oglethorpe, GA 30742

Phone

(706) 956-8893

NPI assigned

Dec 5, 2018

Organization subpart

No

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

Authorized official

Name

Derrick Snyder

Title

Vice President

Phone

(419) 890-9978

Specialties & licenses 1

Addresses

Other names 1

• Essential Dental Doing business as

Locations

Practitioners 1

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

• Craig W Walker, DMD

  • General Practice Dentistry
  • Fort Oglethorpe, GA
  • NPI 1962573535
  NPD (past)

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1194295972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ESSENTIAL DENTAL, INC",
            "address_2": "1188 CROSS STREET",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "30742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ESSENTIAL DENTAL, INC",
            "address_2": "1188 CROSS STREET",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "30742",
            "telephone_number": "706-956-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "419-890-9978"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essential Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carl Edward Ellis Jr.
• Crystal Danielle Elsberry, LPN
• Mary Christina Emery, PTA
• Erdman ENT, PC
• John P. Erdman, MD
• Dennis P Estep, MD
• Eyear Optical, Inc
• Richard Falconbury, H.A.S.
• Family Medical Therapies PLLC
• Kaylea Brewer Fields, PT

• Dental Clinic/Center in Fort Oglethorpe, GA
• Providers in Fort Oglethorpe, 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 Dec 5, 2018; 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.