Organization Active NPI

Twiilight Dental Care,LLC

  • Dentist
  • Columbus, GA
National Provider Identifier
1487335048
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TWIILIGHT DENTAL CARE,LLC
Doing business as
Twiilight Dental
Practice address
6550 Whittlesey Blvd Ste 104
Columbus, GA 31909-7339
Phone
(706) 221-2013
Fax
(706) 807-0084
NPI assigned
Jul 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Dr. Arlita Jackson, DMDNPI 1194854901
Title
Owner
Phone
(706) 221-2013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

6550 Whittlesey Blvd Ste 104
Columbus, GA 31909-7339

Mailing address

6550 Whittlesey Blvd Ste 104
Columbus, GA 31909-7339
Phone (706) 221-2013

Other names 1

  • Twiilight Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Twiilight Dental Carellc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6550 Whittlesey Blvd
Ste 104
Columbus, GA 31909
Phone (706) 392-8899

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1487335048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 WHITTLESEY BLVD STE 104",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097339",
            "telephone_number": "706-221-2013",
            "fax_number": "706-807-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 WHITTLESEY BLVD STE 104",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097339",
            "telephone_number": "706-221-2013",
            "fax_number": "706-807-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIILIGHT DENTAL CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ARLITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-221-2013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twiilight Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.