Healthy Smiles of Savannah

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013433 Issued in GA

Legal business name

HEALTHY SMILES OF SAVANNAH

Practice address

5420 Paulsen Street
Savannah, GA 31405

Phone

(912) 777-5767

Fax

(912) 777-5773

NPI assigned

Jan 13, 2014

Last updated

Jan 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Hawkins Hissam, D.M.D.NPI 1265741201

Title

Dentist

Phone

(912) 777-5767

Specialties & licenses 1

Addresses

Locations

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.

• Laura Hawkins Hissam, D.M.D.

  • General Practice Dentistry
  • Savannah, GA
  • NPI 1265741201
  Authorized official Same address or phone

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1700208642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 PAULSEN STREET",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-777-5767",
            "fax_number": "912-777-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 PAULSEN STREET",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-777-5767",
            "fax_number": "912-777-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES OF SAVANNAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "HISSAM",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "HAWKINS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "912-777-5767",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthcare Abundance Care LLC (Abundance Care LLC)
• Healthcare Principals Group, LLC (HCPG Corp)
• Healthqwest Frontiers LLC
• Healthy Family PC
• Healthy Habits, Inc
• Healthy Ym Ga LLC
• Healthy You Primary Care LLC
• Martin John Healy, MSPT, ATC
• Lindsey Heard, PSYD
• Charday Hearn

• General Practice Dentistry in Savannah, GA
• Providers in Savannah, 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 Jan 17, 2014; 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.