Vidalia Dental Associates,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN008330 Issued in GA

Legal business name

VIDALIA DENTAL ASSOCIATES,P.C.

Practice address

1618 Meadows Lane
Vidalia, GA 30475-0363

Phone

(912) 537-2238

Fax

(912) 537-0979

NPI assigned

Sep 5, 2006

Last updated

Aug 22, 2020By 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

Dr. Murray F Brown Jr., DMDNPI 1265774632

Title

President

Phone

(912) 537-2238

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Murray Fred Brown, DMD

  • Dentist
  • Vidalia, GA
  • NPI 1265774632
  NPD (past) Authorized official
• Mark William Oxley, DMD

  • General Practice Dentistry
  • Vidalia, GA
  • NPI 1003461294
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770685141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 MEADOWS LN",
            "address_2": "PO BOX 363",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304750363",
            "telephone_number": "912-537-2238",
            "fax_number": "912-537-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 MEADOWS LANE",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304750363",
            "telephone_number": "912-537-2238",
            "fax_number": "912-537-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDALIA DENTAL ASSOCIATES,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MURRAY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-537-2238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN008330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Universal Community Health System LLC
• Ashley Upshaw, PHARM.D.
• Vidalia Anesthesia Assoc PC
• Vidalia Children's Center LLC
• Vidalia City Board of Education
• Vidalia ENT Associates, LLC
• Vidalia Eye Associates, Inc.
• Vidalia Eyecare LLC
• Vidalia Family Care LLC
• Vidalia Family Chiropractic, PC

• General Practice Dentistry in Vidalia, GA
• Providers in Vidalia, 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 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.