Active NPI
Georgia Dental Group, PC
- General Practice Dentistry
- Lancaster, PA
National Provider Identifier
1811371008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- GEORGIA DENTAL GROUP, PC
- Practice address
- 101 N Pointe Blvd
Suite 202
Lancaster, PA 17601-4108 - Phone
- (717) 590-1513
- NPI assigned
- Jul 17, 2015
- Last updated
- Jul 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessie Winkler
- Title
- Revenue Cycle Manager
- Phone
- (717) 590-1513
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | NU | ||
| General Practice Dentistry | 1223G0001X | NU | Primary | |
| Pediatric Dentistry | 1223P0221X | NU | ||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | NU | ||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | NU |
Addresses
Primary practice location
101 N Pointe Blvd
Suite 202
Lancaster, PA 17601-4108
Mailing address
PO Box 782886
Philadelphia, PA 19178-2886
Phone (717) 590-1513
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437091200000",
"number": "1811371008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 782886",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191782886",
"telephone_number": "717-590-1513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N POINTE BLVD",
"address_2": "SUITE 202",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014108",
"telephone_number": "717-590-1513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGIA DENTAL GROUP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-17",
"last_updated": "2015-07-17",
"status": "A",
"authorized_official_last_name": "WINKLER",
"authorized_official_first_name": "JESSIE",
"authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
"authorized_official_telephone_number": "717-590-1513"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.