Valdosta Center for Sleep Apnea Snoring & TMJ LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VALDOSTA CENTER FOR SLEEP APNEA SNORING & TMJ LLC

Practice address

2704 N Oak St BLDG C1
Valdosta, GA 31602-1796

Phone

(229) 247-0200

Fax

(229) 241-7474

NPI assigned

Jan 18, 2024

Organization subpart

No

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

Authorized official

Name

Dustin Kilby, DMDNPI 1649683541

Title

Owner

Phone

(229) 247-0200

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dustin Ross Kilby, D.M.D.

  • Dentist
  • Valdosta, GA
  • NPI 1649683541
  NPD Authorized official
• Charles Randall Moritz, DDS PC

  • Dentist
  • Valdosta, GA
  • NPI 1306854237
  NPD (past)

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1982465878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST BLDG C1",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021796",
            "telephone_number": "229-247-0200",
            "fax_number": "229-241-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST BLDG C1",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021796",
            "telephone_number": "229-247-0200",
            "fax_number": "229-241-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALDOSTA CENTER FOR SLEEP APNEA SNORING & TMJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "KILBY",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-247-0200",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valdosta Advanced Healing Inc
• Valdosta Allergy, Asthma, & Immunology, PC
• Valdosta Anesthesia Associates, P.C.
• Valdosta Blood and Cancer Center
• Valdosta Center for Cosmetic Dentistry, Inc (North Valdosta Dental Care)
• Valdosta Children's Healthcare Center ,LLC
• Valdosta Chiropractic & Rehab, LLC
• Valdosta City Board of Education
• Valdosta Dental Associates
• Valdosta Endoscopy Center, LLC

• General Practice Dentistry in Valdosta, GA
• Providers in Valdosta, 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 Jan 18, 2024; 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.