Organization Active NPI

Richmond Hill Family & Cosmetic Dentistry

  • Dentist
  • Richmond Hill, GA
National Provider Identifier
1740427905
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
012438 Issued in GA
Legal business name
RICHMOND HILL FAMILY & COSMETIC DENTISTRY
Practice address
10015 Ford Ave
2-A St. Joseph Medical Plaza
Richmond Hill, GA 31324-8804
Phone
(912) 756-3880
Fax
(912) 756-3516
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Dr. David S. Dority, D.M.D.NPI 1316184575
Title
President
Phone
(912) 756-3380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 012438 GA Primary

Addresses

Primary practice location

10015 Ford Ave
2-A St. Joseph Medical Plaza
Richmond Hill, GA 31324-8804

Mailing address

10015 Ford Ave
2-A St. Joseph Medical Plaza
Richmond Hill, GA 31324-8804
Phone (912) 756-3880

National Provider Directory

National Provider Directory

Locations

10015 Ford Ave
#2A
Richmond Hill, GA 31324
Phone (912) 756-3880

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": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1740427905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 FORD AVE",
            "address_2": "2-A ST. JOSEPH MEDICAL PLAZA",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248804",
            "telephone_number": "912-756-3880",
            "fax_number": "912-756-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 FORD AVE",
            "address_2": "2-A ST. JOSEPH MEDICAL PLAZA",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248804",
            "telephone_number": "912-756-3880",
            "fax_number": "912-756-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND HILL FAMILY & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "DORITY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-756-3380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "012438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.