Sarah Dickinson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN123506 Issued in GA

Practice address

400 McDonough Pkwy
McDonough, GA 30253-8946

Phone

(770) 957-5214

NPI assigned

Jul 15, 2024

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Honey Creek Dental Association

  dba McDonough Family Dental Association

  • General Practice Dentistry
  • McDonough, GA
  • NPI 1225119274
  NPD (past)
• Jsa Dental Associates McDonough PC

  • General Practice Dentistry
  • McDonough, GA
  • NPI 1356793962
  NPD (past)

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1346087483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROWN FOREST DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302523668",
            "telephone_number": "706-589-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MCDONOUGH PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538946",
            "telephone_number": "770-957-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "SARAH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esraa F Dhabaan, M.D
• Sravan Dhulipala, M.D.
• Diagnostic Go Mobile
• Raymond Scott Dickerson, PA-C
• Shanice Nicole Dickerson
• Kimberly Faith Dillard, N.P.
• Althea Charity Dimaculangan, NP-C
• Divine Harvest Home Care Services, LLC
• DNM Health Services
• Thu Anh Doan, DMD

• General Practice Dentistry in McDonough, GA
• Providers in McDonough, 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 Jul 15, 2024; 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.