Barton Chapel Dental Group, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BARTON CHAPEL DENTAL GROUP, LLC

Practice address

2755 Barton Chapel Road
Augusta, GA 30906

Phone

(706) 790-9179

Fax

(706) 790-3408

NPI assigned

Apr 1, 2020

Organization subpart

No

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

Authorized official

Name

Terrence L Vandiver, DMDNPI 1306811914

Title

Owner

Phone

(706) 825-0319

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terrence L Vandiver

  • General Practice Dentistry
  • Augusta, GA
  • NPI 1306811914
  NPD Authorized official

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1255969432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HUDGENS CT",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095101",
            "telephone_number": "706-825-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 BARTON CHAPEL ROAD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30906",
            "telephone_number": "706-790-9179",
            "fax_number": "706-790-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTON CHAPEL DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "VANDIVER",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-825-0319",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E. Kimberly Barry, AU.D.
• Mariam Barseghyan
• Linda Alice Bartlett, MD, MHSC.
• Ashley Hardy Bartley, NNP
• John H Bartley, MD
• Hollie S Barton
• Sarah Barton, OTR/L
• Jordan McKinney Barwick, FNP
• Ranjini Basavaraj Nataraj, MBBS, MD
• Brian Basco

• General Practice Dentistry in Augusta, GA
• Providers in Augusta, 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 Apr 1, 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.