Organization Active NPI

Middle Ga Center for Cosmetic Dentistry

  • General Practice Dentistry
  • Warner Robins, GA
National Provider Identifier
1912506700
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MIDDLE GA CENTER FOR COSMETIC DENTISTRY
Doing business as
Middle Ga Center for Cosmetic Dentistry
Practice address
1295 Russell Pkwy
Warner Robins, GA 31088-5582
Phone
(478) 929-2190
Fax
(478) 922-6496
NPI assigned
Oct 22, 2020
Last updated
Oct 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Dr. Curtis O Hayslip, D.M.D.NPI 1154343515
Title
Dentist / Owner
Phone
(478) 929-2190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1295 Russell Pkwy
Warner Robins, GA 31088-5582

Mailing address

1295 Russell Pkwy
Warner Robins, GA 31088-5582
Phone (478) 929-2190

Other names 1

  • Middle Ga Center for Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1295 Russell Pkwy
Warner Robins, GA 31088
Phone (478) 551-4524

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": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1912506700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 RUSSELL PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885582",
            "telephone_number": "478-929-2190",
            "fax_number": "478-922-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 RUSSELL PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885582",
            "telephone_number": "478-929-2190",
            "fax_number": "478-922-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GA CENTER FOR COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "HAYSLIP",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "478-929-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle Ga Center for Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.