Organization Active NPI

Wrightsville Family Dental

  • General Practice Dentistry
  • Wrightsville, GA
National Provider Identifier
1740686989
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WRIGHTSVILLE FAMILY DENTAL
Practice address
180 East Elm Street
Wrightsville, GA 31096
Phone
(478) 957-4616
NPI assigned
Nov 17, 2014
Last updated
Nov 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Dr. Kara Griffin Moore, DMD
Title
Ceo
Phone
(478) 957-4616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

180 East Elm Street
Wrightsville, GA 31096

Mailing address

PO Box 2635
Gray, GA 31032-2635

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1740686989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2635",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310322635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 EAST ELM STREET",
            "city": "WRIGHTSVILLE",
            "state": "GA",
            "postal_code": "31096",
            "telephone_number": "478-957-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHTSVILLE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "GRIFFIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-957-4616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wrightsville, GA

Sources for this page

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