NPIMap

Organization Active NPI

All Smiles Family Dental Clinic PC

  • General Practice Dentistry
  • Albany, GA
National Provider Identifier
1720164056
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN011610 Issued in GA
Legal business name
ALL SMILES FAMILY DENTAL CLINIC PC
Practice address
2722 Dawson Road
Ste 12
Albany, GA 31707
Phone
(229) 888-2488
Fax
(229) 888-2440
NPI assigned
Oct 30, 2006
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. Jeannette M Pope Ozimba, DDS
Title
Dr Owner
Phone
(229) 888-2488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN011610 GA Primary

Addresses

Primary practice location

2722 Dawson Road
Ste 12
Albany, GA 31707

Mailing address

PO Box 71854
Albany, GA 31708
Phone (229) 888-2488

Other identifiers 1

IdentifierTypeStateIssuer
00796617AMedicaidGA

Other names 1

  • Jeannette M Pope Ozimba DDS Doing business as

National Provider Directory

National Provider Directory

Locations

2722 Dawson Rd
Ste 12
Albany, GA 31707
Phone (229) 888-2488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720164056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71854",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31708",
            "telephone_number": "229-888-2488",
            "fax_number": "229-888-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 DAWSON ROAD",
            "address_2": "STE 12",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31707",
            "telephone_number": "229-888-2488",
            "fax_number": "229-888-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SMILES FAMILY DENTAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POPE OZIMBA",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DR OWNER",
        "authorized_official_telephone_number": "229-888-2488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00796617A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeannette M Pope Ozimba DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, 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.