Organization Active NPI

Centre' for Cosmetic Dentistry

  • General Practice Dentistry
  • Albany, GA
National Provider Identifier
1669721452
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN011294 Issued in GA
Legal business name
CENTRE' FOR COSMETIC DENTISTRY
Practice address
2824 Gillionville Rd
Albany, GA 31721-2904
Phone
(229) 883-3443
Fax
(229) 883-6755
NPI assigned
Sep 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Sonya Taylor Acree, D.M.D.
Title
Owner
Phone
(229) 883-3443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN011294 GA Primary

Addresses

Primary practice location

2824 Gillionville Rd
Albany, GA 31721-2904

Mailing address

PO Box 72267
Albany, GA 31708-2267
Phone (229) 883-3443

National Provider Directory

National Provider Directory

Locations

2824 Gillionville Rd
Albany, GA 31721
Phone (229) 883-3443

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1669721452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72267",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317082267",
            "telephone_number": "229-883-3443",
            "fax_number": "229-883-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 GILLIONVILLE RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317212904",
            "telephone_number": "229-883-3443",
            "fax_number": "229-883-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE' FOR COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "ACREE",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-883-3443",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.