Pediatric Dentistry of Central Ga, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN012955 Issued in GA

Legal business name

PEDIATRIC DENTISTRY OF CENTRAL GA, PC

Practice address

900 Professional Dr
Warner Robins, GA 31088-0520

Phone

(478) 333-3636

Fax

(478) 333-6399

NPI assigned

Jan 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Margaret G Moore, DMDNPI 1013930338

Title

Ceo

Phone

(478) 333-3636

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Margaret Graham Moore, DMD

  • Pediatric Dentistry
  • Warner Robins, GA
  • NPI 1013930338
  NPD (past) Authorized official

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1922420074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PROFESSIONAL DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880520",
            "telephone_number": "478-333-3636",
            "fax_number": "478-333-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PROFESSIONAL DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880520",
            "telephone_number": "478-333-3636",
            "fax_number": "478-333-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF CENTRAL GA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-333-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN012955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peach Medical Associates
• Peachbelt Health and Rehabilitation Center LLC
• Pamela Pearson, RBT
• Laura Cook Peavy, PHARMD
• Pediatric Care After Hours
• Pediatric First, PC
• Pediatrics Alpha
• Marta Pena
• Alecia Penrod, RN
• Annette Rhoda Peppard, AU. D.

• 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 Jan 8, 2014; 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.