Brooks Dental Associates, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN007286 Issued in GA

Legal business name

BROOKS DENTAL ASSOCIATES, INC

Practice address

13762 Magnolia St
Blakely, GA 39823-1875

Phone

(229) 723-4111

Fax

(229) 723-6083

NPI assigned

May 2, 2016

Last updated

May 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

C. Paschal Brooks Sr., DDS

Title

President

Phone

(229) 723-4111

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Paschal Brooks Jr., D.M.D.

  • General Practice Dentistry
  • Blakely, GA
  • NPI 1508177825
  NPD (past)

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1366897977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "BLAKELY",
            "state": "GA",
            "postal_code": "398230707",
            "fax_number": "229-723-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13762 MAGNOLIA ST",
            "city": "BLAKELY",
            "state": "GA",
            "postal_code": "398231875",
            "telephone_number": "229-723-4111",
            "fax_number": "229-723-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS DENTAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "C. PASCHAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-723-4111",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014123",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN007286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent B. Barker, M.D.
• Regina Alia Beacham, FNP-C
• Blakely Pharmacy LLC (Hall Drug Co.)
• Christina Marie Bridges
• Brooks Dental Associates
• Charles Paschal Brooks Jr., D.M.D.
• Kay Newberry Brooks, L.P.C.
• Leigh Ford Bruner, PHARM. D.
• Calhoun County Dept of Family & Children Services
• Lakeisha Cannon-Scott, APRN, PMHNP

• General Practice Dentistry in Blakely, GA
• Providers in Blakely, 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 May 2, 2016; 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.