Active NPI
Debbie L. Dismuke D.M.D.,P.C.
- General Practice Dentistry
- Douglas, GA
National Provider Identifier
1447422787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN010213
- Legal business name
- DEBBIE L. DISMUKE D.M.D.,P.C.
- Practice address
- 1305 Ocilla Rd
Douglas, GA 31533-2209 - Phone
- (912) 384-2277
- Fax
- (912) 384-7543
- NPI assigned
- Mar 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cindy Michelle Nugent
- Title
- Office Manager
- Phone
- (912) 384-2277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN010213 | GA | Primary |
Addresses
Primary practice location
1305 Ocilla Rd
Douglas, GA 31533-2209
Mailing address
PO Box 1266
Douglas, GA 31534-1266
Phone (912) 384-2277
National Provider Directory
National Provider DirectoryLocations
1305 Ocilla Rd
Douglas, GA 31533
Phone (912) 384-0600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Douglas, GA
- NPI 1336254275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1447422787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1266",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315341266",
"telephone_number": "912-384-2277",
"fax_number": "912-384-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 OCILLA RD",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315332209",
"telephone_number": "912-384-2277",
"fax_number": "912-384-7543"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBBIE L. DISMUKE D.M.D.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "NUGENT",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "912-384-2277",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN010213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.