Organization Active NPI

Charles E Sauls, DMD, LLC

  • General Practice Dentistry
  • Sylvester, GA
National Provider Identifier
1326294133
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10570 Issued in GA
Legal business name
CHARLES E SAULS, DMD, LLC
Practice address
106 E Willingham St
Sylvester, GA 31791-1746
Phone
(229) 776-6888
NPI assigned
Aug 12, 2008
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Mrs. Vickey Haralson
Title
Office Manager
Phone
(229) 776-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10570 GA Primary

Addresses

Primary practice location

106 E Willingham St
Sylvester, GA 31791-1746

Mailing address

PO Box 390
Sylvester, GA 31791-0390
Phone (229) 776-6888

Other identifiers 1

IdentifierTypeStateIssuer
00355517BMedicaidGA

National Provider Directory

National Provider Directory

Locations

106 E Willingham St
Sylvester, GA 31791
Phone (229) 776-6888

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1326294133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317910390",
            "telephone_number": "229-776-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E WILLINGHAM ST",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317911746",
            "telephone_number": "229-776-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E SAULS, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "HARALSON",
        "authorized_official_first_name": "VICKEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-776-6888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355517B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvester, GA

Sources for this page

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