NPIMap

Organization Active NPI

Affordable Dentures & Implants - Valdosta, P.C.

  • Dentist
  • Valdosta, GA
National Provider Identifier
1639528516
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN014810 Issued in GA
Legal business name
AFFORDABLE DENTURES & IMPLANTS - VALDOSTA, P.C.
Practice address
282 Norman Dr Ste D
Valdosta, GA 31601-5493
Phone
(229) 241-7319
NPI assigned
Jun 10, 2016
Last updated
Jun 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Ronnie Neil Jenkins Jr., DMD
Title
Practice Owner
Phone
(229) 241-7319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN014810 GA Primary

Addresses

Primary practice location

282 Norman Dr Ste D
Valdosta, GA 31601-5493

Mailing address

282 Norman Dr Ste D
Valdosta, GA 31601-5493
Phone (229) 241-7319

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1639528516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 NORMAN DR STE D",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015493",
            "telephone_number": "229-241-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 NORMAN DR STE D",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015493",
            "telephone_number": "229-241-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - VALDOSTA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "229-241-7319",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.