Professional Dental Alliance of Warner Robins Moody Rd, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PROFESSIONAL DENTAL ALLIANCE OF WARNER ROBINS MOODY RD, LLC

Doing business as

Central Georgia Dentistry

Practice address

2521 Moody Rd
Warner Robins, GA 31088-6117

Phone

(478) 929-8603

Fax

(478) 929-0242

NPI assigned

Jan 8, 2019

Last updated

Jan 8, 2019By 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

Lauren Howard, MA

Title

Credentialing Specialist

Phone

(724) 698-2029

Specialties & licenses 1

Addresses

Other names 1

• Central Georgia Dentistry 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.

• 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": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1639642176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S MILL ST STE 200",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013680",
            "telephone_number": "724-698-2500",
            "fax_number": "844-399-0385"
        },
        {
            "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",
            "fax_number": "478-929-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DENTAL ALLIANCE OF WARNER ROBINS MOODY RD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "724-698-2029",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Georgia Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prime Medical Associates, PC
• Princess Hamilton, LLC
• Priss & Frank Family Center Inc.
• Joshua Blake Pritchett, CRNA
• Brianna Proctor
• Professional Dental Alliance Warner Robins C Vinson Pky, LLC (Dental Associates of Warner Robins)
• Proinfiniti Solutions LLC
• Prolific Home Care LLC
• Providence Psychotherapy LLC
• Pruitthealth - the Lodge LLC

• Dentist in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.