NPIMap

Organization Active NPI

Dallas Dental Carellc

  • General Practice Dentistry
  • Arlington, GA
National Provider Identifier
1326333675
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8983 Issued in GA
Legal business name
DALLAS DENTAL CARELLC
Practice address
471 Pioneer Rd
Arlington, GA 39813
Phone
(229) 725-4545
Fax
(229) 725-4469
NPI assigned
Jun 15, 2011
Last updated
Jun 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Dr. John C Dallas, DMDNPI 1508811761
Title
Owner
Phone
(229) 725-4545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8983 GA Primary

Addresses

Primary practice location

471 Pioneer Rd
Arlington, GA 39813

Mailing address

471 Pioneer Rd
PO Box 246
Arlington, GA 39813
Phone (229) 725-4545

National Provider Directory

National Provider Directory
Tax ID family
Dallas Dental Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1326333675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 PIONEER RD",
            "address_2": "PO BOX 246",
            "city": "ARLINGTON",
            "state": "GA",
            "postal_code": "39813",
            "telephone_number": "229-725-4545",
            "fax_number": "229-725-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 PIONEER RD",
            "city": "ARLINGTON",
            "state": "GA",
            "postal_code": "39813",
            "telephone_number": "229-725-4545",
            "fax_number": "229-725-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS DENTAL CARELLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "DALLAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-725-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.