Active NPI
Oglethorpedental Center
- General Practice Dentistry
- Macon, GA
National Provider Identifier
1245384221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10885
- Legal business name
- OGLETHORPEDENTAL CENTER
- Practice address
- 1248 Oglethorpe St
Macon, GA 31201-1703 - Phone
- (478) 743-5856
- Fax
- (478) 745-7953
- NPI assigned
- Jan 23, 2007
- 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
- Dr. Franklin Brent Davis, DMD
- Title
- President
- Phone
- (478) 743-5856
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10885 | GA | Primary |
Addresses
Primary practice location
1248 Oglethorpe St
Macon, GA 31201-1703
Mailing address
1248 Oglethorpe St
Macon, GA 31201-1703
Phone (478) 743-5856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000439788A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
1248 Oglethorpe St
Macon, GA 31201
Phone (478) 743-5856
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Macon, GA
- NPI 1659625903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348704000000",
"number": "1245384221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1248 OGLETHORPE ST",
"city": "MACON",
"state": "GA",
"postal_code": "312011703",
"telephone_number": "478-743-5856",
"fax_number": "478-745-7953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1248 OGLETHORPE ST",
"city": "MACON",
"state": "GA",
"postal_code": "312011703",
"telephone_number": "478-743-5856",
"fax_number": "478-745-7953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OGLETHORPEDENTAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2012-09-27",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "FRANKLIN",
"authorized_official_middle_name": "BRENT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "478-743-5856",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "10885",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000439788A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.