Winterville Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WINTERVILLE DENTAL, LLC

Practice address

104 Moores Grove Rd
Winterville, GA 30683-1506

Phone

(706) 742-7000

Fax

(706) 742-2145

NPI assigned

Apr 3, 2018

Last updated

Apr 22, 2026By 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

Dr. Brandon W Whitworth, DMD

Title

Owner

Phone

(706) 742-7000

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Phillip Hue Durden IV, D.M.D.

  • General Practice Dentistry
  • Winterville, GA
  • NPI 1851493977
  NPD
• Brian Andrew Mitchell, DMD

  • General Practice Dentistry
  • Winterville, GA
  • NPI 1255686887
  NPD (past)

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1235635715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MOORES GROVE RD",
            "city": "WINTERVILLE",
            "state": "GA",
            "postal_code": "306831506",
            "telephone_number": "706-742-7000",
            "fax_number": "706-742-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MOORES GROVE RD",
            "city": "WINTERVILLE",
            "state": "GA",
            "postal_code": "306831506",
            "telephone_number": "706-742-7000",
            "fax_number": "706-742-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTERVILLE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "WHITWORTH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-742-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhondolyn Jones Smith, PHARM.D
• V Clarke Host Home
• Teresa F Vaughn, MSPT COMT
• Raymond Lyle Whitfield, CRNA
• Kevin Willenbring, PT

• Dental Clinic/Center in Winterville, GA
• Providers in Winterville, 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 Apr 22, 2026; 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.