Maynard, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN014449 Issued in GA

Legal business name

MAYNARD, LLC

Doing business as

Georgetown Family Dentistry

Practice address

821 King George Blvd
Suite a
Savannah, GA 31419-8328

Phone

(912) 927-8484

Fax

(912) 927-8487

NPI assigned

Jun 29, 2016

Last updated

Jun 29, 2016By 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. Roy Maynard Jr., DDSNPI 1417203415

Title

Owner

Phone

(912) 927-8484

Specialties & licenses 1

Addresses

Other names 1

• Georgetown Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roy Douglas Maynard Jr., DDS

  • General Practice Dentistry
  • Savannah, GA
  • NPI 1417203415
  NPD (past) Authorized official

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1841641040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13989",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314160989",
            "telephone_number": "912-927-8484",
            "fax_number": "912-927-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 KING GEORGE BLVD",
            "address_2": "SUITE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314198328",
            "telephone_number": "912-927-8484",
            "fax_number": "912-927-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYNARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-927-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN014449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angel M Maxwellscott, LMSW
• Aaron May, NBC-HWC
• Elizabeth Alice May, P.T.A.
• Joanna May
• Morgan Elizabeth Mayle, MSN, FNP-BC
• Roy Douglas Maynard Jr., DDS
• Carolyn Maynor
• Preston Scott Mayo, PHARMD
• Joseph Mazarella, CRNA
• Richard Mazo, MD

• Dental Clinic/Center in Savannah, GA
• Providers in Savannah, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.