Hartwell Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7729 Issued in GA

Legal business name

HARTWELL DENTAL ASSOCIATES

Practice address

56 W Gibson St
Hartwell, GA 30643-1846

Phone

(706) 376-3158

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sam C Grizzle, DDSNPI 1134336076

Title

Owner

Phone

(706) 376-3158

Specialties & licenses 2

Addresses

Locations

Practitioners 4

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

• Sam C Grizzle, DDS

  • General Practice Dentistry
  • Hartwell, GA
  • NPI 1134336076
  NPD (past) Authorized official
• Whitney Kay Berelc

  • General Practice Dentistry
  • Hartwell, GA
  • NPI 1255625489
  NPD (past)
• James P Kay Jr., DMD

  • General Practice Dentistry
  • Hartwell, GA
  • NPI 1578770400
  NPD (past)
• Ryan Allen Seerley, DMD

  • Dentist
  • Hartwell, GA
  • NPI 1639749930
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1437208741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306430536",
            "telephone_number": "706-376-3158",
            "fax_number": "706-376-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W GIBSON ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431846",
            "telephone_number": "706-376-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTWELL DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "GRIZZLE",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-376-3158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "7729",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hart County Emergency Medical Service
• Hart County Health & Rehabilitation, LLC (Hartwell Health and Rehabilitation)
• Hart County Internal Medicine, LLC
• Hart County School System
• Hartwell Chiropractic Clinic
• Hartwell Emergency Physicians LLC
• Hartwell Emergency Services, LLC
• Hartwell Family Practice, P.C.
• Hartwell Pharmacy, Inc.
• Hartwell RX Inc (Hartwell Drugs)

• General Practice Dentistry in Hartwell, GA
• Providers in Hartwell, 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 Sep 25, 2007; 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.