Jasper Dental Associates, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JASPER DENTAL ASSOCIATES, P.C.

Practice address

938 W Church St
Jasper, GA 30143-1496

Phone

(706) 862-1769

NPI assigned

Jul 7, 2022

Organization subpart

No

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

Authorized official

Name

Ben Cutler

Title

Secretary

Phone

(607) 743-9474

Specialties & licenses 6

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Harren, D.M.D.

  • Dentist
  • Jasper, GA
  • NPI 1407529175
  NPD
• Randal Duane Otis, DMD

  • Dentist
  • Kansas City, MO
  • NPI 1629683925
  NPD
• Evan Frisbee, DMD

  • Dentist
  • Jasper, GA
  • NPI 1396275681
  NPD (past)
• Kristine Mycroft, DMD

  • General Practice Dentistry
  • Snellville, GA
  • NPI 1972097541
  NPD (past)

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1356074363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 W CHURCH ST",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431496",
            "telephone_number": "706-862-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 W CHURCH ST",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431496",
            "telephone_number": "706-862-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "CUTLER",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "607-743-9474"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine Associates of Jasper, PC
• Interventional Spine & Pain Management Center, PC
• Interventional Spine and Pain Management Center, PC
• It'S Cool to Care
• Lisa M Jackowiak, PT
• Jasper Drug Co Inc
• Jasper Drug Co Inc
• Jasper Eye Associates, LLC
• Jasper Neurological Associates, P.C.
• Jasper Physical Therapy, LLC

• General Practice Dentistry in Jasper, GA
• Providers in Jasper, 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 7, 2022; 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.