Individual provider Active NPI

Robert Hugh Sasser Jr., DDS

  • Dentist
  • Sandersville, GA
National Provider Identifier
1295160976
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6370 Issued in GA
Practice address
423 Industrial Dr
Sandersville, GA 31082-7015
Phone
(478) 553-2402
NPI assigned
Sep 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6370 GA Primary

Addresses

Primary practice location

423 Industrial Dr
Sandersville, GA 31082-7015

Mailing address

423 Industrial Blvd
Sandersville, GA 31082-0000
Phone (478) 553-2402

Other names 1

  • Dr. Bobby H Sasser Jr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6370GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1295160976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 INDUSTRIAL BLVD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310820000",
            "telephone_number": "478-553-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 INDUSTRIAL DR",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310827015",
            "telephone_number": "478-553-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSER",
        "first_name": "ROBERT",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "6370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBY",
            "last_name": "SASSER",
            "middle_name": "H",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sandersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.