Organization Active NPI

Dental Sleep Medicine of Ga PC

  • General Practice Dentistry
  • Athens, GA
National Provider Identifier
1508813031
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN008098 Issued in GA
Legal business name
DENTAL SLEEP MEDICINE OF GA PC
Practice address
1500 Oglethorpe Ave
Suite 2300
Athens, GA 30606-2188
Phone
(706) 546-8407
Fax
(706) 546-8409
NPI assigned
May 29, 2006
Last updated
Sep 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Robert Bernard Ward Jr., D.D.S.NPI 1073554051
Title
Pres.
Phone
(706) 546-8407

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN008098 GA Primary

Addresses

Primary practice location

1500 Oglethorpe Ave
Suite 2300
Athens, GA 30606-2188

Mailing address

1500 Oglethorpe Ave
Suite 2300
Athens, GA 30606-2188
Phone (706) 546-8407

Other identifiers 1

IdentifierTypeStateIssuer
5077OtherGAGROUP #

Other names 1

  • ROBERT B WARD JR DDS PC Former legal business name

National Provider Directory

National Provider Directory

Locations

1500 Oglethorpe Ave
Ste 2300
Athens, GA 30606
Phone (706) 546-8407

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1508813031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "SUITE 2300",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062188",
            "telephone_number": "706-546-8407",
            "fax_number": "706-546-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "SUITE 2300",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062188",
            "telephone_number": "706-546-8407",
            "fax_number": "706-546-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SLEEP MEDICINE OF GA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "706-546-8407",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN008098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP #",
            "identifier": "5077",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERT B WARD JR DDS PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.