Organization Active NPI

Hebberger & Simpson, P.C.

  • General Practice Dentistry
  • Mableton, GA
National Provider Identifier
1518062058
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7990 Issued in GA
Legal business name
HEBBERGER & SIMPSON, P.C.
Practice address
5396 Floyd Rd SW
Mableton, GA 30126-2216
Phone
(770) 941-7588
Fax
(770) 941-2119
NPI assigned
Sep 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William Scott Hebberger, D.M.D.
Title
Ceo
Phone
(770) 941-7588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7990 GA Primary

Addresses

Primary practice location

5396 Floyd Rd SW
Mableton, GA 30126-2216

Mailing address

5396 Floyd Rd SW
Mableton, GA 30126-2216
Phone (770) 941-7588

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518062058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5396 FLOYD RD SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262216",
            "telephone_number": "770-941-7588",
            "fax_number": "770-941-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5396 FLOYD RD SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262216",
            "telephone_number": "770-941-7588",
            "fax_number": "770-941-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBBERGER & SIMPSON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEBBERGER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-941-7588",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "7990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.