Alice M Booth, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DU034933 Issued in CA

Practice address

2515 Habersham St
Savannah, GA 31401-9346

Phone

(912) 234-2206

Fax

(912) 238-1522

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Habersham Dental of Savannah LLC

  • General Practice Dentistry
  • Savannah, GA
  • NPI 1902370158
  NPD (past)
• Habersham Dental Partners, LLC

  • General Practice Dentistry
  • Savannah, GA
  • NPI 1821251299
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1801955877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 HABERSHAM ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314019346",
            "telephone_number": "912-234-2206",
            "fax_number": "912-238-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 HABERSHAM ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314019346",
            "telephone_number": "912-234-2206",
            "fax_number": "912-238-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "ALICE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DU034933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Bonner, OT
• Bonnie Craven LLC
• Brenda J Booker, LCSW
• Jennifer Pollard Boone, RN, BSN
• Laurie Lynn Boone, SLP
• Kristina Garcia Boothe, AMFT000869
• Jennifer Boyd Bootle, FNP
• Gregory D Borak, MD
• Nicholas Borchardt, DC
• Michael Boring, MD

• Dentist in Savannah, GA
• Providers in Savannah, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.