Bahar Jalalian

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122697 Issued in GA

Practice address

320 Benjamin H Hill Dr SW
Fitzgerald, GA 31750-8694

Phone

(229) 423-9471

NPI assigned

Jun 29, 2022

Last updated

Jun 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children and Teen Dental Group

  dba American Dental of Fitzgerald

  • Pediatric Dentistry
  • Fitzgerald, GA
  • NPI 1215755004

  General Practice

  NPD
• Georgia Dental Associates, LLC

  dba Georgia Dental Associates of Fitzgerald

  • Dental Clinic/Center
  • Fitzgerald, GA
  • NPI 1487293882
  NPD
• Children and Teen Dental Group

  dba American Dental of Eastman

  • Pediatric Dentistry
  • Eastman, GA
  • NPI 1396563185

  General Practice

  NPD (past)
• Children and Teen Dental Group

  dba American Dental of LaGrange

  • Pediatric Dentistry
  • Lagrange, GA
  • NPI 1568280519

  General Practice

  NPD (past)

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1689306482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BENJAMIN H HILL DR SW",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317508694",
            "telephone_number": "229-423-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BENJAMIN H HILL DR SW",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317508694",
            "telephone_number": "229-423-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALALIAN",
        "first_name": "BAHAR",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Howell, NP-C
• Clarence J. Hunter Jr., M.D.
• J & K Transport and Family Services
• J.H. Harvey Co., LLC (Harveys Supemarket Pharmacy #2332)
• Eugene Hooks Jackson, MD
• Neddie Nicole Jenkins
• Edd C Jones III, MD
• Johnna Lee Kendrick, SLP-CF
• Kids Health
• Chelsie Nicole King

• General Practice Dentistry in Fitzgerald, GA
• Providers in Fitzgerald, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.