James Benjamin Patrick, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8443 Issued in GA

Practice address

1155 Cedar Shoals Dr
Athens, GA 30605-3592

Phone

(706) 546-8720

Fax

(706) 548-1888

NPI assigned

Feb 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Athens Dentistry, PC

  dba Advanced Dentistry of Athens

  • Dental Clinic/Center
  • Athens, GA
  • NPI 1760904569
  NPD (past)
• Professional Dental Alliance of Athens, LLC

  • Dentist
  • Athens, GA
  • NPI 1174097802
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477696607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 CEDAR SHOALS DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053592",
            "telephone_number": "706-546-8720",
            "fax_number": "706-548-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 CEDAR SHOALS DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053592",
            "telephone_number": "706-546-8720",
            "fax_number": "706-548-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "JAMES",
        "middle_name": "BENJAMIN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyam Jayesh Patel
• Path of Wellness, Inc
• Pathology and Laboratory Consultants of Athens LLC
• Shashikant Patil, M.D
• Patrick D Retterbush MD LLC
• Emory Garrett Patterson, M.D.
• Lauren Zeagler Patterson, RN
• Stephen Roger Patterson, NCPRSS
• Jonathan M. Patton, M.D.
• David Paulk, D.O.

• General Practice Dentistry in Athens, GA
• Providers in Athens, 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 8, 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.