Eddie Ronald Fields Jr., DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN014813 Issued in GA

Practice address

2301 Lullwater Rd
Albany, GA 31707-0001

Phone

(229) 439-8896

Fax

(229) 435-4773

NPI assigned

Feb 25, 2014

Sex

Male

Sole proprietor

No

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

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.

• Southland Childrens Dentistry Valdosta, LLC

  dba South Georgia Pediatric Dentistry

  • Pediatric Dentistry
  • Valdosta, GA
  • NPI 1265921837
  NPD
• Southland Children's Dentistry LLC

  • Dental Clinic/Center
  • Albany, GA
  • NPI 1356793533
  NPD (past)

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1972928158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 LULLWATER RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073180",
            "telephone_number": "229-439-8896",
            "fax_number": "229-435-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LULLWATER RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317070001",
            "telephone_number": "229-439-8896",
            "fax_number": "229-435-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "EDDIE",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-25",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN014813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Meade Feild Jr., DDS
• Ashleigh Symenski Felpel, D.O.
• Clair D Felpel, D.O.
• Maelett Ferrell
• Catharine V Field, LPC
• Lachandra Johnson Fields
• Yolanda Fields, M.ED., M.S.W.
• Filling Station Family Dental Centers, Inc.
• Janie S Fink, LCSW
• Crystal Fino, RDN, LDN

• Pediatric Dentistry in Albany, GA
• Providers in Albany, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.