Active NPI
White Oak Pediatric Dentistry PC
- Pediatric Dentistry
- Newnan, GA
National Provider Identifier
1326435389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN014889
- Legal business name
- WHITE OAK PEDIATRIC DENTISTRY PC
- Practice address
- 1635 Highway 34 E Ste D
Newnan, GA 30265-2173 - Phone
- (470) 210-8050
- NPI assigned
- Apr 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ben Popple, D.M.D
- Title
- Pediatric Dentist
- Phone
- (470) 210-8050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN014889 | GA | Primary |
Addresses
Primary practice location
1635 Highway 34 E Ste D
Newnan, GA 30265-2173
Mailing address
1635 Highway 34 E Ste D
Newnan, GA 30265-2173
Phone (470) 210-8050
National Provider Directory
National Provider DirectoryLocations
1635 Highway 34 E
Ste D
Newnan, GA 30265
Phone (470) 210-8050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429142400000",
"number": "1326435389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 HIGHWAY 34 E STE D",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302652173",
"telephone_number": "470-210-8050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 HIGHWAY 34 E STE D",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302652173",
"telephone_number": "470-210-8050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE OAK PEDIATRIC DENTISTRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-16",
"last_updated": "2015-04-16",
"status": "A",
"authorized_official_last_name": "POPPLE",
"authorized_official_first_name": "BEN",
"authorized_official_title_or_position": "PEDIATRIC DENTIST",
"authorized_official_telephone_number": "470-210-8050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "DN014889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.