Organization Active NPI

Lanier Dental at Dawsonville, LLC

  • General Practice Dentistry
  • Dawsonville, GA
National Provider Identifier
1659609212
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LANIER DENTAL AT DAWSONVILLE, LLC
Practice address
6625 Highway 53 E
Suite 440
Dawsonville, GA 30534-6838
Phone
(706) 265-0005
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Dr. Michael D Witcher, DDS
Title
Treasurer
Phone
(706) 265-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6625 Highway 53 E
Suite 440
Dawsonville, GA 30534-6838

Mailing address

6625 Highway 53 E
Suite 440
Dawsonville, GA 30534-6838
Phone (706) 265-0005

National Provider Directory

National Provider Directory

Locations

78 Dawson Village Way N
Ste 170
Dawsonville, GA 30534
Phone (407) 340-4304

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1659609212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 HIGHWAY 53 E",
            "address_2": "SUITE 440",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346838",
            "telephone_number": "706-265-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 HIGHWAY 53 E",
            "address_2": "SUITE 440",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346838",
            "telephone_number": "706-265-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANIER DENTAL AT DAWSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "WITCHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "706-265-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.