W. Max Couch, Jr., DDS, MDS, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

011895 Issued in GA

Legal business name

W. MAX COUCH, JR., DDS, MDS, LLC

Practice address

2714 East First Street
Blue Ridge, GA 30513

Phone

(770) 833-9150

Fax

(706) 946-2672

NPI assigned

Feb 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. William Max Couch Jr., DDS, MDS

Title

President/ Orthodontist

Phone

(770) 833-9150

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1972800175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 EAST FIRST STREET",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "30513",
            "telephone_number": "770-833-9150",
            "fax_number": "706-946-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 EAST FIRST STREET",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "30513",
            "telephone_number": "770-833-9150",
            "fax_number": "706-946-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. MAX COUCH, JR., DDS, MDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "PRESIDENT/ ORTHODONTIST",
        "authorized_official_telephone_number": "770-833-9150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "011895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.