Garden City Denture and Dental Center, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN011961 Issued in GA

Legal business name

GARDEN CITY DENTURE AND DENTAL CENTER, LLC

Practice address

4019 Augusta Rd
Ste. 106
Garden City, GA 31408-2121

Phone

(912) 966-5489

Fax

(912) 966-5949

NPI assigned

Feb 17, 2009

Organization subpart

No

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

Authorized official

Name

Richard S. Marsh, DMDNPI 1396806147

Title

Managing Member/Dentist

Phone

(912) 966-5489

Specialties & licenses 2

Addresses

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Marsh, DMD

  • Dentist
  • Garden City, GA
  • NPI 1396806147
  NPD (past) Authorized official
• William D Dailey, DMD

  • Dentist
  • Garden City, GA
  • NPI 1275694010
  NPD (past)
• Steven V Woods, DMD

  • Dentist
  • Garden City, GA
  • NPI 1265593016
  NPD (past)

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1679712574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 AUGUSTA RD",
            "address_2": "STE. 106",
            "city": "GARDEN CITY",
            "state": "GA",
            "postal_code": "314082121",
            "telephone_number": "912-966-5489",
            "fax_number": "912-966-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 AUGUSTA RD",
            "address_2": "STE. 106",
            "city": "GARDEN CITY",
            "state": "GA",
            "postal_code": "314082121",
            "telephone_number": "912-966-5489",
            "fax_number": "912-966-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CITY DENTURE AND DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGING MEMBER/DENTIST",
        "authorized_official_telephone_number": "912-966-5489",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN011961",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN009844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• William Wallace Faulk, D.M.D.
• Griffin Home Health Care Inc
• Katherine Stefania Guadamud, RDN, LDN
• Nakiea Jovan Hampton
• Anna Hendershot, RPH
• Horizon Adult Day Health Inc.

• All providers in Garden City, GA
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.