Active NPI
Levie Family Dentistry PC
- General Practice Dentistry
- La Fayette, GA
National Provider Identifier
1235837832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- LEVIE FAMILY DENTISTRY PC
- Practice address
- 201 E Villanow St
La Fayette, GA 30728-2594 - Phone
- (706) 638-2784
- NPI assigned
- Feb 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Cooper
- Title
- Office Manager
- Phone
- (706) 638-2784
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
201 E Villanow St
La Fayette, GA 30728-2594
Mailing address
PO Box 1725
La Fayette, GA 30728-1725
National Provider Directory
National Provider DirectoryLocations
201 E Villanow St
La Fayette, GA 30728
Phone (706) 638-2784
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- La Fayette, GA
- NPI 1114147196
-
- Dentist
- Lafayette, GA
- NPI 1023484805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677024000000",
"number": "1235837832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1725",
"city": "LA FAYETTE",
"state": "GA",
"postal_code": "307281725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E VILLANOW ST",
"city": "LA FAYETTE",
"state": "GA",
"postal_code": "307282594",
"telephone_number": "706-638-2784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEVIE FAMILY DENTISTRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-22",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "706-638-2784"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Fayette, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.