Organization Active NPI

T. Dale Twilley, D.M.D., P.C.

  • General Practice Dentistry
  • Toccoa, GA
National Provider Identifier
1821144882
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8302 Issued in GA
Legal business name
T. DALE TWILLEY, D.M.D., P.C.
Practice address
735 Big a Rd S
Toccoa, GA 30577-3166
Phone
(706) 886-1424
Fax
(706) 282-4061
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Thomas Dale Twilley, D.M.D.
Title
President
Phone
(706) 886-1424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8302 GA Primary

Addresses

Primary practice location

735 Big a Rd S
Toccoa, GA 30577-3166

Mailing address

735 Big a Rd S
Toccoa, GA 30577-3166
Phone (706) 886-1424

National Provider Directory

National Provider Directory

Locations

735 Big a Rd S
Toccoa, GA 30577
Phone (706) 886-1424

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1821144882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 BIG A RD S",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305773166",
            "telephone_number": "706-886-1424",
            "fax_number": "706-282-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 BIG A RD S",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305773166",
            "telephone_number": "706-886-1424",
            "fax_number": "706-282-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. DALE TWILLEY, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "TWILLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-886-1424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toccoa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.