NPIMap

Organization Active NPI

Oak Hill Dentistry PC

  • Dentist
  • Newnan, GA
National Provider Identifier
1366628984
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN012661 Issued in GA
Legal business name
OAK HILL DENTISTRY PC
Practice address
20 Baker Rd Ste 6
Newnan, GA 30265-2134
Phone
(770) 251-8767
Fax
(770) 251-7059
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Kelley D Brummett, DMDNPI 1952403719
Title
Owner
Phone
(770) 251-8767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN012661 GA Primary

Addresses

Primary practice location

20 Baker Rd Ste 6
Newnan, GA 30265-2134

Mailing address

20 Baker Rd Ste 6
Newnan, GA 30265-2134
Phone (770) 251-8767

National Provider Directory

National Provider Directory

Locations

20 Baker Rd
Ste 6
Newnan, GA 30265
Phone (678) 854-0169

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1366628984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BAKER RD STE 6",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652134",
            "telephone_number": "770-251-8767",
            "fax_number": "770-251-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BAKER RD STE 6",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652134",
            "telephone_number": "770-251-8767",
            "fax_number": "770-251-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HILL DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "BRUMMETT",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-251-8767",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012661",
            "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 Jan 14, 2008; 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.