Organization Active NPI

Mackay Dental Associates LLC

Doing business as Mackay Dental Associates

  • General Practice Dentistry
  • Watkinsville, GA
National Provider Identifier
1740997071
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MACKAY DENTAL ASSOCIATES LLC
Doing business as
Mackay Dental Associates
Practice address
1725 Electric Ave Ste 138
Watkinsville, GA 30677-2607
Phone
(706) 296-0296
NPI assigned
Nov 7, 2022
Last updated
Nov 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Dr. Elisse Mackay, DMDNPI 1972141935
Title
Owner Dentist
Phone
(706) 296-0296

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1725 Electric Ave Ste 138
Watkinsville, GA 30677-2607

Mailing address

134 Red Maple Dr
Athens, GA 30606-0886
Phone (706) 296-0296

Other names 1

  • Mackay Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1725 Electric Ave
Ste 138
Watkinsville, GA 30677
Phone (706) 296-0296

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1740997071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 RED MAPLE DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306060886",
            "telephone_number": "706-296-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 ELECTRIC AVE STE 138",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772607",
            "telephone_number": "706-296-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKAY DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-05",
        "status": "A",
        "authorized_official_last_name": "MACKAY",
        "authorized_official_first_name": "ELISSE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "706-296-0296",
        "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": [
        {
            "organization_name": "Mackay Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.