Organization Active NPI

Comfy-Dental LLC

  • General Practice Dentistry
  • Fort Oglethorpe, GA
National Provider Identifier
1417430737
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COMFY-DENTAL LLC
Practice address
138 Battlewood Dr
Fort Oglethorpe, GA 30742-4006
Phone
(706) 686-4193
NPI assigned
Sep 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Authorized official

Name
Dr. Billy Chung, DMD
Title
Owner
Phone
(706) 277-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

138 Battlewood Dr
Fort Oglethorpe, GA 30742-4006

Mailing address

138 Battlewood Dr
Fort Oglethorpe, GA 30742-4006

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1417430737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 BATTLEWOOD DR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 BATTLEWOOD DR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424006",
            "telephone_number": "706-686-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFY-DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-277-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.