Jarrell Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JARRELL PEDIATRIC DENTISTRY, LLC

Practice address

1538 13TH Ave Ste 100
Columbus, GA 31901-1956

Phone

(706) 530-0700

NPI assigned

Oct 2, 2018

Last updated

Oct 2, 2018By 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

Mary Caroline Jarrell, DMD

Title

Pediatric Dentist

Phone

(706) 530-0700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1275018582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 NANCY ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319061253",
            "telephone_number": "706-513-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 13TH AVE STE 100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011956",
            "telephone_number": "706-530-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARRELL PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "706-530-0700",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Harold Jarrell, MD
• Harold George Jarrell III, MD
• Mary Caroline Jarrell, DMD
• Todd S Jarrell, M.D.
• Corliss Jarvis

• Pediatric Dentistry in Columbus, GA
• Providers in Columbus, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.