Organization Active NPI

John Dallas, DMD, PC

  • General Practice Dentistry
  • Arlington, GA
National Provider Identifier
1699986695
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8983 Issued in GA
Legal business name
JOHN DALLAS, DMD, PC
Practice address
471 Pioneer Rd
Arlington, GA 39813
Phone
(229) 725-4545
NPI assigned
May 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Dallas, DMDNPI 1508811761
Title
PC President
Phone
(229) 725-4545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8983 GA Primary

Addresses

Primary practice location

471 Pioneer Rd
Arlington, GA 39813

Mailing address

471 Pioneer Rd
PO Box 246
Arlington, GA 39813
Phone (229) 725-4545

Other names 1

  • Dallas Dental Care Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699986695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 PIONEER RD",
            "address_2": "PO BOX 246",
            "city": "ARLINGTON",
            "state": "GA",
            "postal_code": "39813",
            "telephone_number": "229-725-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 PIONEER RD",
            "city": "ARLINGTON",
            "state": "GA",
            "postal_code": "39813",
            "telephone_number": "229-725-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN DALLAS, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALLAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PC PRESIDENT",
        "authorized_official_telephone_number": "229-725-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.