Warner Robins Pediatric Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

WARNER ROBINS PEDIATRIC DENTISTRY LLC

Practice address

102 S Houston Rd
Warner Robins, GA 31088-3904

Phone

(205) 253-1503

NPI assigned

Feb 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Daniel Pennington, DMD

Title

Owner

Phone

(478) 449-4200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1871050872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 GUERRY DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104127",
            "telephone_number": "205-253-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S HOUSTON RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883904",
            "telephone_number": "205-253-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARNER ROBINS PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-449-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warner Robins Medical Clinic, PC
• Warner Robins OB/GYN 2, LLC
• Warner Robins OB/GYN LLC
• Warner Robins Optical, Inc.
• Warner Robins Partners
• Warner Robins Primary Care, LLC
• Warner Robins Rehabilitation Center, LLC
• Victoria Warner
• Joycelyn Warren Reeves, FNP
• Brenda Marie Warren

• Pediatric Dentistry in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.