Cvington-Conyers Dental

Primary specialty

DentistTaxonomy code 122300000X

License

11497 Issued in GA

Legal business name

CVINGTON-CONYERS DENTAL

Practice address

3162 Elm St NE
Covington, GA 30014-2461

Phone

(678) 625-7505

NPI assigned

Jan 9, 2008

Last updated

Jan 9, 2008By 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

Jimmie Blount

Title

Doctor

Phone

(678) 625-7505

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1427233311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3162 ELM ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142461",
            "telephone_number": "678-625-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 ELM ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142461",
            "telephone_number": "678-625-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVINGTON-CONYERS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "BLOUNT",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "678-625-7505"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "11497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Covington, GA
• Providers in Covington, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.