Active NPI
Abel Nmi Aguilar, DMD
- General Practice Dentistry
- Manchester, GA
National Provider Identifier
1689644635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN012784
- Practice address
- 408 Perry St
Manchester, GA 31816-1203 - Phone
- (706) 981-6272
- Fax
- (709) 684-6918
- NPI assigned
- Jan 24, 2006
- Last updated
- Sep 5, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3991 | SC | |
| General Practice Dentistry | 1223G0001X | DN012784 | GA | Primary |
Addresses
Primary practice location
408 Perry St
Manchester, GA 31816-1203
Mailing address
408 W Perry St
Manchester, GA 31816-1203
Phone (706) 846-8404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN012784 | GA | MD | General Practice Dentistry |
| 3991 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1689644635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 W PERRY ST",
"city": "MANCHESTER",
"state": "GA",
"postal_code": "318161203",
"telephone_number": "706-846-8404",
"fax_number": "709-684-6918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 PERRY ST",
"city": "MANCHESTER",
"state": "GA",
"postal_code": "318161203",
"telephone_number": "706-981-6272",
"fax_number": "709-684-6918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR",
"first_name": "ABEL",
"middle_name": "NMI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3991",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN012784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.