NPIMap

Organization Active NPI

Dogwood Pediatric Dentistry of Statesboro, LLC

Doing business as Dogwood Pediatric Dentistry of Statesboro

  • Pediatric Dentistry
  • Statesboro, GA
National Provider Identifier
1871145557
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DOGWOOD PEDIATRIC DENTISTRY OF STATESBORO, LLC
Doing business as
Dogwood Pediatric Dentistry of Statesboro
Practice address
123 Hill Pond LN
Statesboro, GA 30458-0872
Phone
(912) 402-5437
NPI assigned
Jul 12, 2019
Last updated
Jul 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Authorized official

Name
Krista Hinchey, DMD
Title
Owner
Phone
(912) 402-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

123 Hill Pond LN
Statesboro, GA 30458-0872

Mailing address

123 Hill Pond LN
Statesboro, GA 30458-0872
Phone (912) 402-5437

Other names 1

  • Dogwood Pediatric Dentistry of Statesboro Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Statesboro

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1871145557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HILL POND LN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580872",
            "telephone_number": "912-402-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HILL POND LN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580872",
            "telephone_number": "912-402-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOGWOOD PEDIATRIC DENTISTRY OF STATESBORO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "HINCHEY",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-402-5437",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Statesboro",
            "affiliation": "N",
            "address_1": "123 Hill Pond Ln",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304580872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dogwood Pediatric Dentistry of Statesboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.