Alan E Mobley, DMD, MPH

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN016043 Issued in GA

Practice address

2281 Hog Mountain Rd
Watkinsville, GA 30677-4846

Phone

(706) 769-6671

NPI assigned

Jun 11, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1871118232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 HOG MOUNTAIN RD",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774846",
            "telephone_number": "706-769-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 HOG MOUNTAIN RD",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774846",
            "telephone_number": "706-769-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "ALAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN016043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Lamar Miller, M.D.
• Breana Berry Miller, M.D.
• Jaelyn Milum, RBT
• Nicholas Anthony Mineo, BA
• Mobley Family Dentistry, PA
• Christopher Todd Mobley Jr.
• Rhonda K Mobley, DMD
• Diana Molina, RBT
• Charity Grace Moncada, RD
• Susan Mongerson

• General Practice Dentistry in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.