Active NPI
Eric J Sterett, D.M.D.
- Dentist
- Augusta, GA
National Provider Identifier
1699099853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN013883
- Practice address
- 2437 Lumpkin Rd
Augusta, GA 30906-3000 - Phone
- (706) 796-6269
- Fax
- (706) 796-6386
- NPI assigned
- Mar 17, 2010
- Last updated
- May 23, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN013883 | GA | Primary |
Addresses
Primary practice location
2437 Lumpkin Rd
Augusta, GA 30906-3000
Mailing address
2437 Lumpkin Rd
Augusta, GA 30906-3000
Phone (706) 796-6269
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 |
|---|---|---|---|
| DN013883 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Dental Care, LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Augusta, GA
- NPI 1851664221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306108800000",
"number": "1699099853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2437 LUMPKIN RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309063000",
"telephone_number": "706-796-6269",
"fax_number": "706-796-6386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2437 LUMPKIN RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309063000",
"telephone_number": "706-796-6269",
"fax_number": "706-796-6386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERETT",
"first_name": "ERIC",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-17",
"last_updated": "2011-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN013883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
- Shanice Shondalei Stephens, FNP-C
- Michael Stephenson
- Stephen Lake Stephenson, D.C.
- Lara M Stepleman, PHD
- Steppingstones to Recovery
- Keith Raymond Sterett
- Meghan K Sterett, PA-C
- Ilanit Almog Stern, DMD
- Jacob Kobi Stern, DMD, MSC
- Steven M. Roth, M.D., P.C. (Augusta Vascular Surgical And Vein Care Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.