I Heart Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

I HEART DENTAL LLC

Practice address

135 Goshen Road
Suite 205
Rincon, GA 31326-5546

Phone

(912) 499-1133

Fax

(912) 348-5806

NPI assigned

Oct 16, 2019

Last updated

Oct 16, 2019By 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

Dr. Misty Mae Deale, DMD

Title

Owner/Dentist

Phone

(912) 499-1133

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Misty Mae Seale, D.M.D.

  • Dentist
  • Rincon, GA
  • NPI 1780086595
  NPD

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1306488838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GOSHEN ROAD",
            "address_2": "SUITE 205",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265546",
            "telephone_number": "912-499-1133",
            "fax_number": "912-348-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 GOSHEN ROAD",
            "address_2": "SUITE 205",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265546",
            "telephone_number": "912-499-1133",
            "fax_number": "912-348-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I HEART DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "DEALE",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "912-499-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray L Howell, MD,MBA,FACOG,FICS
• Jamie Hubbard, RT(R)ARRT
• Kaitlin Johnson Hunt, PT, DPT
• Kaitlin Hunter
• Carl Victor Hurtig, M.D.
• Inspired Vision Counseling LLC
• Keith James
• Brittany Jernigan
• Jessica M Futch PT DPT LLC (Awaken Pelvic Physical Therapy)
• Jennifer Johnson, PHARMD

• General Practice Dentistry in Rincon, GA
• Providers in Rincon, 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 Oct 16, 2019; 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.