Georgia Dental Alliance of Greensboro

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GEORGIA DENTAL ALLIANCE OF GREENSBORO

Practice address

1000 Cowles Clinc Way Ste W-200
Greensboro, GA 30642-4539

Phone

(706) 454-0044

NPI assigned

Nov 11, 2019

Last updated

Feb 15, 2022By 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

Jenni Tomlinson

Title

Credentialing Specialist

Phone

(678) 986-7116

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.

• Charles Daniel Collins, DMD

  • Dentist
  • Greensboro, GA
  • NPI 1679777320
  NPD (past)

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1710522065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 COWLES CLINC WAY STE W-200",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306424539",
            "telephone_number": "706-454-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COWLES CLINC WAY STE W-200",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306424539",
            "telephone_number": "706-454-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DENTAL ALLIANCE OF GREENSBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "JENNI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "678-986-7116"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Robert Gallo, M.D.
• Alejandra Garcia Rychtarikova, MD
• Georgia Cancer Specialists I PC
• Georgia Center for Sight
• Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy #08424)
• Georgia Kidney Care
• Benjamin Goodroe, MD
• Clayton Green, PTA
• Tera Anita Green, RN
• Greene County Board of Commissioners (Greene County EMS)

• General Practice Dentistry in Greensboro, GA
• Providers in Greensboro, 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 Feb 15, 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.