NPIMap

Organization Active NPI

Honey Creek Dental Association

Doing business as McDonough Family Dental Association

  • General Practice Dentistry
  • McDonough, GA
National Provider Identifier
1225119274
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HONEY CREEK DENTAL ASSOCIATION
Doing business as
McDonough Family Dental Association
Practice address
400 McDonough Pkwy
McDonough, GA 30253-8946
Phone
(770) 957-5214
Fax
(770) 957-5215
NPI assigned
Oct 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James P McMullen, D.M.D.NPI 1396832291
Title
Dentist
Phone
(770) 957-5214

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
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

400 McDonough Pkwy
McDonough, GA 30253-8946

Mailing address

400 McDonough Pkwy
McDonough, GA 30253-8946
Phone (770) 957-5214

Other names 1

  • McDonough Family Dental Association Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Honey Creek Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 McDonough Pkwy
McDonough, GA 30253
Phone (770) 957-5214

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225119274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MCDONOUGH PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538946",
            "telephone_number": "770-957-5214",
            "fax_number": "770-957-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MCDONOUGH PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538946",
            "telephone_number": "770-957-5214",
            "fax_number": "770-957-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONEY CREEK DENTAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-957-5214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDonough Family Dental Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

  • 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.