Jeffrey Jerome Dent, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

9920 Issued in GA

Practice address

1238 Augusta West Pkwy
Augusta, GA 30909-1854

Phone

(706) 868-0246

Fax

(706) 868-0255

NPI assigned

Dec 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sga Augusta, LLC

  dba Parkway Periodontics, Laser and Implant Dentistry

  • Dental Clinic/Center
  • Augusta, GA
  • NPI 1699535963
  NPD (past)

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": "1952465742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 AUGUSTA WEST PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091854",
            "telephone_number": "706-868-0246",
            "fax_number": "706-868-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 AUGUSTA WEST PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091854",
            "telephone_number": "706-868-0246",
            "fax_number": "706-868-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENT",
        "first_name": "JEFFREY",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "9920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denmark Foot and Ankle, PC
• James Austin Denmark, D.P.M.
• Annie Ruth Dennis-King, PA-C
• Krista Dennis, PA-C
• Sharese Denson, CNA
• Dentistry at Crane Creek, P.C.
• Cassia Leigh Denton
• Department of Behavioral Health and Developmental Disabilities (East Central Regional Hospital)
• Department of Veteran Affairs
• Julia Depuy

• Periodontics in Augusta, GA
• Providers in Augusta, GA by specialty
• Periodontics 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.