VBDC of Macon LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VBDC OF MACON LLC

Doing business as

Value Dental Center

Practice address

5955 Zebulon Rd
Macon, GA 31210-2030

Phone

(478) 733-0857

Fax

(478) 254-5709

NPI assigned

Dec 27, 2018

Last updated

Dec 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul Jason Mann, DMDNPI 1447458856

Title

Owner

Phone

(478) 733-0857

Specialties & licenses 1

Addresses

Other names 1

• Value Dental Center Doing business as

Locations

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.

• Paul Jason Mann, D.M.D.

  • Dentist
  • Macon, GA
  • NPI 1447458856
  Authorized official Same address or phone

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1578035804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N MACON ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312106562",
            "telephone_number": "478-733-0857",
            "fax_number": "478-254-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ZEBULON RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102030",
            "telephone_number": "478-733-0857",
            "fax_number": "478-254-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VBDC OF MACON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-733-0857",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Value Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Vaughan, M.D.
• Danny M Vaughn, MD
• Jodi Marlisa Vaughn, APRN, PMHNP-BC
• Mary Bell Hancock Vaughn, M.D.
• Maria Guadalupe Vazquez de Santos, MD
• Doris S Veal, NP
• Rebecca Lynn Veal, CRNA
• Jessica Monique Vedas, RBT
• Celeste Vega, FNP-C
• Jayson Philip Vega

• General Practice Dentistry in Macon, GA
• Providers in Macon, 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 Dec 27, 2018; 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.