Valdosta Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013182 Issued in GA

Legal business name

VALDOSTA FAMILY DENTISTRY

Practice address

2935 N Ashley St
Suite 130
Valdosta, GA 31602-1777

Phone

(229) 333-8484

NPI assigned

Mar 16, 2009

Last updated

Mar 16, 2009By 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. Benjamin F Tanner, DMD

Title

Dentist

Phone

(229) 333-8484

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1811138258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 N ASHLEY ST",
            "address_2": "SUITE 130",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021777",
            "telephone_number": "229-333-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 N ASHLEY ST",
            "address_2": "SUITE 130",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021777",
            "telephone_number": "229-333-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALDOSTA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "229-333-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "827915201A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valdosta Children's Healthcare Center ,LLC
• Valdosta Chiropractic & Rehab, LLC
• Valdosta City Board of Education
• Valdosta Dental Associates
• Valdosta Endoscopy Center, LLC
• Valdosta Family Medicine Associates, P.C. (Valdosta Family Medicine)
• Valdosta Foot & Ankle Clinic, P.C.
• Valdosta Foot & Ankle Surgery Center, P.C.
• Valdosta Gastroenterology Associates, LLC
• Valdosta Health & Wellness Clinic Inc

• General Practice Dentistry in Valdosta, GA
• Providers in Valdosta, 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 Mar 16, 2009; 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.