Central Georgia Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013090 Issued in GA

Legal business name

CENTRAL GEORGIA DENTISTRY

Practice address

2521 Moody Rd
Warner Robins, GA 31088-6117

Phone

(478) 929-8603

NPI assigned

Jul 30, 2015

Last updated

Jul 30, 2015By 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

Dr. Edwin Hargett III, DMD

Title

Owner

Phone

(478) 929-8603

Specialties & licenses 1

Addresses

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.

• Kimberly Ann Carver-Harper, D.M.D.

  • General Practice Dentistry
  • Warner Robins, GA
  • NPI 1164589131
  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1629453717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 MOODY RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886117",
            "telephone_number": "478-929-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 MOODY RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886117",
            "telephone_number": "478-929-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL GEORGIA DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "HARGETT",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-929-8603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele A. Cayado, APRN, NP-C
• Yasmin Ceacal-Releford, LCSW, LISW-CP, LICSW
• Cedar Dental Clinical I, LLC (Orthodontic Care of Georgia)
• Central Georgia Cancer Care (Central Georgia Cancer Care Pharmacy)
• Central Georgia Counseling Services
• Central Georgia Health Care Center, PC
• Central Georgia Heart Institue, LLC
• Central Georgia Periodontics & Dental Implants LLC
• Central Georgia Periodontics and Dental Implants
• Central Georgia Professional Hearing Services, LLC

• General Practice Dentistry in Warner Robins, GA
• Providers in Warner Robins, 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 Jul 30, 2015; 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.