Savannah Periodontics, P.C

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN013747 Issued in GA

Legal business name

SAVANNAH PERIODONTICS, P.C

Practice address

310 Eisenhower Dr Ste 4
Savannah, GA 31406-2632

Phone

(912) 355-2688

Fax

(912) 355-2657

NPI assigned

Jun 27, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth J. Henderson

Title

Office Manager

Phone

(912) 355-2688

Specialties & licenses 1

Addresses

Practitioners 2

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

• John Charles O'Neill IV, D.M.D.

  • Dentist
  • Savannah, GA
  • NPI 1629369947
  NPD (past)
• Kimberly Niessen Turner, DMD

  • Dentist
  • Savannah, GA
  • NPI 1720203912
  NPD (past)

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1396196812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 EISENHOWER DR STE 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062632",
            "telephone_number": "912-355-2688",
            "fax_number": "912-355-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 EISENHOWER DR STE 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062632",
            "telephone_number": "912-355-2688",
            "fax_number": "912-355-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH PERIODONTICS, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-355-2688",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN013747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Pediatric Care, LLC
• Savannah Pediatric Specialists, LLC
• Savannah Pediatrics, P.C.
• Savannah Pelvic Reconstructive Surgery Center
• Savannah Perio & Implants
• Savannah Personal Care Services
• Savannah Plastic Surgicenter
• Savannah Plastic Surgicenter Inc
• Savannah Post Acute LLC
• Savannah Primary Care Associates, LLC

• Periodontics in Savannah, GA
• Providers in Savannah, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.