Augusta Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AUGUSTA FAMILY DENTAL, LLC

Practice address

4110 Windsor Spring Rd
Hephzibah, GA 30815-8020

Phone

(706) 287-5632

NPI assigned

Oct 10, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Humm, DMD

Title

Clinical Director

Phone

(706) 863-4567

Specialties & licenses 1

Addresses

Locations

Practitioners 6

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

• Susan Katherine Jones, D.M.D

  • General Practice Dentistry
  • Augusta, GA
  • NPI 1598819930
  NPD (past)
• Deborah Young Makerson, DMD

  • General Practice Dentistry
  • Augusta, GA
  • NPI 1134137102
  NPD (past)
• Reginald L Makerson, D.D.S.

  • General Practice Dentistry
  • Augusta, GA
  • NPI 1265817142
  NPD (past)
• Albert Nathan Rabin, DDS

  • General Practice Dentistry
  • Augusta, GA
  • NPI 1649331059
  NPD (past)
• Mary Cameron Elizabeth Robert, DMD

  • General Practice Dentistry
  • Dunwoody, GA
  • NPI 1275158156
  NPD (past)
• Sheena Sharifzadeh Chavda, DMD

  • Dentist
  • Powdersville, SC
  • NPI 1639691330
  NPD (past)

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1376324996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10445 NW 50TH PL",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330761737",
            "telephone_number": "954-675-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 WINDSOR SPRING RD",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308158020",
            "telephone_number": "706-287-5632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3226 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309073842",
            "country_code": "US",
            "telephone_number": "706-863-4567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1518 Monte Sano Ave",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309045323",
            "country_code": "US",
            "telephone_number": "762-222-7040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "414 Highway 25 S",
            "address_purpose": "LOCATION",
            "city": "Millen",
            "state": "GA",
            "postal_code": "304425263",
            "country_code": "US",
            "telephone_number": "478-982-2789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1119 Druid Park Ave",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309045849",
            "country_code": "US",
            "telephone_number": "706-737-6453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUGUSTA FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "HUMM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "706-863-4567",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Hephzibah, GA
• Providers in Hephzibah, 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 Oct 10, 2023; 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.