Eastman Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EASTMAN DENTAL ASSOCIATES

Practice address

501 Griffin Ave
Eastman, GA 31023-6712

Phone

(478) 374-7719

Fax

(478) 374-7044

NPI assigned

May 19, 2011

Last updated

May 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy Marie Henderson

Title

Office Manager

Phone

(478) 374-7719

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1215220579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 247",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "31023",
            "telephone_number": "478-374-7719",
            "fax_number": "478-374-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GRIFFIN AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236712",
            "telephone_number": "478-374-7719",
            "fax_number": "478-374-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTMAN DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-374-7719",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald a. Selph Jr.MD PC
• Mary Kristen Elena Dowdy, COTA/L
• Virginia Ann Dupraw, FNP
• East Georgia Medical
• Eastman Chiropractic Center
• Eastman Drugs, Inc.
• Eastman Drugs, Inc.
• Eastman Family Dental Center LLP
• Eastman Family Dental PC
• Eastman Healthcare & Rehab, LLC

• General Practice Dentistry in Eastman, GA
• Providers in Eastman, 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 May 19, 2011; 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.