Dr Sidney Holcomb

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR SIDNEY HOLCOMB

Practice address

4366 Log Cabin Dr
Macon, GA 31204-5604

Phone

(478) 471-6060

Fax

(478) 476-8009

NPI assigned

Jul 14, 2008

Organization subpart

No

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

Authorized official

Name

Lisa M Bell

Title

Ast/Ins

Phone

(478) 471-6060

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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

• Sidney H Holcomb, D.D.S.

  • General Practice Dentistry
  • Macon, GA
  • NPI 1487711263
  NPD (past)
• Charles J Lewis, D.D.S.

  • General Practice Dentistry
  • Macon, GA
  • NPI 1437216124
  NPD (past)
• Soon Sean Park

  • General Practice Dentistry
  • Macon, GA
  • NPI 1326831595
  NPD (past)
• Maggie Zhu, RDH

  • Dental Hygienist
  • Macon, GA
  • NPI 1710856760
  NPD (past)

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1275797771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4366 LOG CABIN DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312045604",
            "telephone_number": "478-471-6060",
            "fax_number": "478-476-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4366 LOG CABIN DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312045604",
            "telephone_number": "478-471-6060",
            "fax_number": "478-476-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SIDNEY HOLCOMB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AST/INS",
        "authorized_official_telephone_number": "478-471-6060"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00049981A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000703227A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mary Ann Drake, PSYCHOLOGIST

• General Practice Dentistry in Macon, GA
• Providers in Macon, 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 Jul 14, 2008; 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.