Organization Active NPI

Southeastern Dental Center-Columbus LLC

  • Dental Clinic/Center
  • Columbus, GA
National Provider Identifier
1376288308
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SOUTHEASTERN DENTAL CENTER-COLUMBUS LLC
Practice address
3650 Gurley Dr
Columbus, GA 31904-5623
Phone
(706) 571-0201
NPI assigned
May 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Steven Alan ArringtonNPI 1528265303
Title
Owner/Dentist
Phone
(706) 628-0011

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3650 Gurley Dr
Columbus, GA 31904-5623

Mailing address

222 Chambless LN
Hamilton, GA 31811-6144
Phone (706) 628-0011

National Provider Directory

National Provider Directory

Locations

3650 Gurley Dr
Columbus, GA 31904
Phone (706) 571-0201

Practitioners & affiliated clinicians

Practitioners 3

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": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1376288308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CHAMBLESS LN",
            "city": "HAMILTON",
            "state": "GA",
            "postal_code": "318116144",
            "telephone_number": "706-628-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 GURLEY DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045623",
            "telephone_number": "706-571-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN DENTAL CENTER-COLUMBUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "ARRINGTON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "706-628-0011"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.