NPIMap

Organization Active NPI

Sequoia Dental Assisting School

Doing business as Sequoia Dental Clinic

  • Dental Clinic/Center
  • Macon, GA
National Provider Identifier
1922710649
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SEQUOIA DENTAL ASSISTING SCHOOL
Doing business as
Sequoia Dental Clinic
Practice address
4226 Hartley Bridge Rd Ste 102
Macon, GA 31216-4116
Phone
(478) 621-7657
Fax
(478) 621-7713
NPI assigned
Dec 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Leigh Bennett, DMDNPI 1881959518
Title
Owner/Provider
Phone
(478) 621-7657

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4226 Hartley Bridge Rd Ste 102
Macon, GA 31216-4116

Mailing address

4226 Hartley Bridge Rd Ste 102
Macon, GA 31216-4116
Phone (478) 621-7657

Other names 1

  • Sequoia Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1922710649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 HARTLEY BRIDGE RD STE 102",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312164116",
            "telephone_number": "478-621-7657",
            "fax_number": "478-621-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4226 HARTLEY BRIDGE RD STE 102",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312164116",
            "telephone_number": "478-621-7657",
            "fax_number": "478-621-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA DENTAL ASSISTING SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "478-621-7657",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sequoia Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.