Active NPI
Dentistry at Crane Creek, P.C.
- General Practice Dentistry
- Augusta, GA
National Provider Identifier
1942952916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTISTRY AT CRANE CREEK, P.C.
- Practice address
- 2920 Professional Pkwy
Augusta, GA 30907-6527 - Phone
- (706) 868-8155
- NPI assigned
- Jan 21, 2022
- Last updated
- Jan 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ben Cutler
- Title
- VP
- Phone
- (607) 743-9474
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | ||
| Endodontics | 1223E0200X | NU | ||
| General Practice Dentistry | 1223G0001X | NU | Primary | |
| Periodontics | 1223P0300X | NU | ||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | NU |
Addresses
Primary practice location
2920 Professional Pkwy
Augusta, GA 30907-6527
Mailing address
296 S Main St Ste 300
Alpharetta, GA 30009-1973
National Provider Directory
National Provider DirectoryLocations
2920 Professional Pkwy
Martinez, GA 30907
Phone (706) 868-8155
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.
-
- Dentist
- Augusta, GA
- NPI 1992313068
-
- General Practice Dentistry
- Martinez, GA
- NPI 1346364650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642723200000",
"number": "1942952916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 S MAIN ST STE 300",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300091973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 PROFESSIONAL PKWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309076527",
"telephone_number": "706-868-8155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTISTRY AT CRANE CREEK, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-21",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A",
"authorized_official_last_name": "CUTLER",
"authorized_official_first_name": "BEN",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "607-743-9474"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
- James Austin Denmark, D.P.M.
- Annie Ruth Dennis-King, PA-C
- Krista Dennis, PA-C
- Sharese Denson, CNA
- Jeffrey Jerome Dent, DDS
- Cassia Leigh Denton
- Department of Behavioral Health and Developmental Disabilities (East Central Regional Hospital)
- Department of Veteran Affairs
- Julia Depuy
- Christina Elaine Deremer, PHARM.D., BCPS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.