NPIMap

Organization Active NPI

Claxton Family Dentistry LLC

Doing business as Claxton Smiles

  • Dentist
  • Claxton, GA
National Provider Identifier
1992357156
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CLAXTON FAMILY DENTISTRY LLC
Doing business as
Claxton Smiles
Practice address
209 W Liberty St
Claxton, GA 30417-1911
Phone
(912) 732-1011
NPI assigned
Jul 9, 2019
Last updated
Jul 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Zackary L. Bentley
Title
Owner
Phone
(912) 557-6307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

209 W Liberty St
Claxton, GA 30417-1911

Mailing address

209 W Liberty St
Claxton, GA 30417-1911
Phone (912) 732-1011

Other names 1

  • Claxton Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Claxton Family Dentistry LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

209 W Liberty St
Claxton, GA 30417
Phone (912) 732-1011

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1992357156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W LIBERTY ST",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304171911",
            "telephone_number": "912-732-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W LIBERTY ST",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304171911",
            "telephone_number": "912-732-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAXTON FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "ZACKARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-557-6307"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claxton Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Claxton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.