Family Dentistry of Columbus PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FAMILY DENTISTRY OF COLUMBUS PC

Practice address

3408 University Ave
Ste B
Columbus, GA 31907

Phone

(706) 563-5516

Fax

(706) 563-5575

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald J Polk Jr., DMDNPI 1841366457

Title

Partner

Phone

(706) 563-5516

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Ronald J Polk Jr., DMD

  • General Practice Dentistry
  • Columbus, GA
  • NPI 1841366457
  NPD (past) Authorized official
• Marlon E Murrell, DMD

  • Dentist
  • Columbus, GA
  • NPI 1942376553
  NPD (past)
• Thomas H Parker, DMD

  • General Practice Dentistry
  • Columbus, GA
  • NPI 1285888248
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457427064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 UNIVERSITY AVE",
            "address_2": "STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31907",
            "telephone_number": "706-563-5516",
            "fax_number": "706-563-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 UNIVERSITY AVE",
            "address_2": "STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31907",
            "telephone_number": "706-563-5516",
            "fax_number": "706-563-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF COLUMBUS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "706-563-5516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "980348",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family and Community Outreach Ministries, Inc.
• Family Care North, PC
• Family Chiropractic Life PC
• Family Chiropractic Life, PC
• Family Counseling of Columbus @ TH Family Center of Columbus, Inc
• Family Exploration, LLC
• Family Eye Care of Columbus, Inc
• Family First Medical Care, P.C.
• Family Physicians of Columbus
• Family Preservation Center of Georgia Inc

• General Practice Dentistry in Columbus, GA
• Providers in Columbus, 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 Jul 21, 2022; 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.