Individual provider Active NPI

David Kurtzman, DDS

  • General Practice Dentistry
  • Macon, GA
National Provider Identifier
1548470321
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN009448 Issued in GA
Practice address
750 Hazel St
Macon, GA 31201-6856
Phone
(478) 334-5050
NPI assigned
May 23, 2007
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN009448 GA Primary

Addresses

Primary practice location

750 Hazel St
Macon, GA 31201-6856

Mailing address

750 Hazel St
Macon, GA 31201-6856
Phone (478) 334-5050

Other practice location 1

611 Campbell Hill St NW
Suite 101
Marietta, GA 30060-1386
Phone (770) 980-6336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023004908 GA Practitioner - Dentist 6406344019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1430 John Wesley Gilbert Dr
Suite 1012
Augusta, GA 30912-0001

1885 FM
2673 Unit 146
Canyon Lake, TX 78133

750 Hazel St
Macon, GA 31201-6856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN009448GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Corporation of Mercer University CurrentSince Sep 13, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1548470321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 HAZEL ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016856",
            "telephone_number": "478-334-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HAZEL ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016856",
            "telephone_number": "478-334-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Campbell Hill St NW",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601386",
            "country_code": "US",
            "telephone_number": "770-980-6336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTZMAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN009448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.