Organization Active NPI

White Oak Pediatric Dentistry PC

  • Pediatric Dentistry
  • Newnan, GA
National Provider Identifier
1326435389
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN014889 Issued in GA
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

Updated by the provider on Apr 16, 2015

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.