NPIMap

Organization Active NPI

Cabell Dental Group LLC

  • General Practice Dentistry
  • Hampton, GA
National Provider Identifier
1447412754
Registry record updated Dec 9, 2010
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CABELL DENTAL GROUP LLC
Practice address
990 Bear Creek Blvd
Suite E
Hampton, GA 30228-1864
Phone
(770) 707-7905
Fax
(770) 707-7923
NPI assigned
Jun 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Dr. Marjorie Mae Cabell, DMD
Title
General Dentist
Phone
(770) 707-7905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

990 Bear Creek Blvd
Suite E
Hampton, GA 30228-1864

Mailing address

990 Bear Creek Blvd
Suite E
Hampton, GA 30228
Phone (770) 707-7905

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1447412754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 BEAR CREEK BLVD",
            "address_2": "SUITE E",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "30228",
            "telephone_number": "770-707-7905",
            "fax_number": "770-707-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 BEAR CREEK BLVD",
            "address_2": "SUITE E",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302281864",
            "telephone_number": "770-707-7905",
            "fax_number": "770-707-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABELL DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "CABELL",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "770-707-7905",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.