Organization Active NPI

Milledgeville Dental Imaging, LLC

  • Radiology Clinic/Center
  • Milledgeville, GA
National Provider Identifier
1679893424
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
9324 Issued in GA
Legal business name
MILLEDGEVILLE DENTAL IMAGING, LLC
Practice address
112 Wright Dr
Suite E
Milledgeville, GA 31061-8566
Phone
(478) 454-2214
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Dr. Frank Spivey Arnold, D.M.D.
Title
Owner
Phone
(478) 454-2214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 9324 GA Primary

Addresses

Primary practice location

112 Wright Dr
Suite E
Milledgeville, GA 31061-8566

Mailing address

112 Wright Dr
Suite E
Milledgeville, GA 31061-8566
Phone (478) 454-2214

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1679893424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WRIGHT DR",
            "address_2": "SUITE E",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310618566",
            "telephone_number": "478-454-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WRIGHT DR",
            "address_2": "SUITE E",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310618566",
            "telephone_number": "478-454-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLEDGEVILLE DENTAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "SPIVEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-454-2214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "GA",
            "license": "9324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.