Organization Active NPI

Debbie L. Dismuke D.M.D.,P.C.

  • General Practice Dentistry
  • Douglas, GA
National Provider Identifier
1447422787
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN010213 Issued in GA
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

Updated by the provider on Mar 27, 2008

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.