Serenity Dental Care, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN 013883 Issued in GA

Legal business name

SERENITY DENTAL CARE, LLC

Practice address

2437 Lumpkin Rd
Augusta, GA 30906-3000

Phone

(706) 796-6626

Fax

(706) 496-8469

NPI assigned

Feb 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Eric J Sterett, D.M.D.NPI 1699099853

Title

Managing Member

Phone

(706) 796-6269

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric J Sterett, D.M.D.

  • Dentist
  • Augusta, GA
  • NPI 1699099853
  NPD (past) Authorized official

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1851664221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 LUMPKIN RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309063000",
            "telephone_number": "706-796-6626",
            "fax_number": "706-496-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 LUMPKIN RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309063000",
            "telephone_number": "706-796-6626",
            "fax_number": "706-496-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "STERETT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "706-796-6269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN 013883",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "GADN010958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Thomas Self, MD
• Caitlyn Cota Selph, MSW, LCSW, GC-C
• Asmaa Semrin
• Ernesto Andres Sepulveda, MD
• Serenity Behavioral Health Systems
• Serenity Haven Living
• Serenity Health Care Services
• Serenity in-Home Care LLC
• Tania Serrano, M.D.
• Servicorp Resource Center, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.