Carleen Burt Sells, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN014621 Issued in GA

Practice address

100 Blue Moon Xing Ste 103
Pooler, GA 31322-9809

Phone

(912) 737-4044

NPI assigned

May 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Magnolia Roots Endodontics LLC

  • Endodontics
  • Pooler, GA
  • NPI 1598514960
  NPD Authorized official

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1770920910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BLUE MOON XING STE 103",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229809",
            "telephone_number": "912-737-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BLUE MOON XING STE 103",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229809",
            "telephone_number": "912-737-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLS",
        "first_name": "CARLEEN",
        "middle_name": "BURT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014621",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN014621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittani Scruggs, RBT
• Dynese Seabrooks, CCC-SLP
• Secret Tresses Wigs
• Chris Selders, DDS
• Charles Marshall Sellars, LMSW
• Olethea Selver
• Serenity Consultants, LLC
• Helen Dawn Seymour
• Cameron Sharkins
• Keana Shaw

• Endodontics in Pooler, GA
• Providers in Pooler, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2024; 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.