S Michael Loden, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012220 Issued in GA

Practice address

1267 Russell Pkwy
Warner Robins, GA 31088-5582

Phone

(478) 923-0253

Fax

(478) 923-6906

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952464893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 RUSSELL PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885582",
            "telephone_number": "478-923-0253",
            "fax_number": "478-923-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 RUSSELL PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885582",
            "telephone_number": "478-923-0253",
            "fax_number": "478-923-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODEN",
        "first_name": "S",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Jasper Littleton, LAPC
• Mattie Mitchell Livingston
• Karen Lloyd
• Jamie Jaros Lochner, D.P.T.
• Amy S Loden, D.M.D.
• Brittany Logan
• Logic Radiology, PC
• Tori Hutson Long, OTR/LG
• Lori J. Gaylor, Ms, LPC, Inc.
• Lana K Lott, PA-C

• General Practice Dentistry in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.