Reidsville Family Dentistry, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN014408 Issued in GA

Legal business name

REIDSVILLE FAMILY DENTISTRY, LLC

Practice address

115 Medical Arts Dr
Reidsville, GA 30453-4630

Phone

(912) 557-6307

NPI assigned

Jul 19, 2016

Last updated

Jul 19, 2016By 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. Zackary Bentley, DMD

Title

Owner

Phone

(912) 687-5047

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1649623216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MEDICAL ARTS DR",
            "city": "REIDSVILLE",
            "state": "GA",
            "postal_code": "304534630",
            "telephone_number": "912-557-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MEDICAL ARTS DR",
            "city": "REIDSVILLE",
            "state": "GA",
            "postal_code": "304534630",
            "telephone_number": "912-557-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIDSVILLE FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "ZACKARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-687-5047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Pingel
• Premise Health of Georgia Medical PC (Canoochee EMC Health & Wellness Center)
• Janie Sue Presas, CST, SFA
• James A Ray, DMD
• Paul I Ray, PT-ECS
• Robert Reyburn, MS, LAT, ATC
• Adam J Rice, BSN, RN, RNFA
• Robert M Roberson III, CRNA
• Eusebio Alibudbud Robles Jr., PT
• SMG-Occupational Health Clinic

• Dentist in Reidsville, GA
• Providers in Reidsville, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.