Active NPI
Staton Family Dentistry
- Dental Clinic/Center
- Blairsville, GA
National Provider Identifier
1992479356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- STATON FAMILY DENTISTRY
- Practice address
- 48 Haralson PL Ste 4
Blairsville, GA 30512-3023 - Phone
- (706) 745-9621
- Fax
- (706) 745-9622
- NPI assigned
- Aug 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Trevor William Staton, DMD
- Title
- Owner/Dentist
- Phone
- (706) 745-9621
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
48 Haralson PL Ste 4
Blairsville, GA 30512-3023
Mailing address
48 Haralson PL Ste 4
Blairsville, GA 30512-3023
Phone (706) 745-9621
Other names 1
- Staton Family Dentistry
National Provider Directory
National Provider DirectoryLocations
48 Haralson Pl
Ste 4
Blairsville, GA 30512
Phone (706) 745-9621
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Franklin, NC
- NPI 1801412655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628467200000",
"number": "1992479356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 HARALSON PL STE 4",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305123023",
"telephone_number": "706-745-9621",
"fax_number": "706-745-9622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 HARALSON PL STE 4",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305123023",
"telephone_number": "706-745-9621",
"fax_number": "706-745-9622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATON FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-09",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A",
"authorized_official_last_name": "STATON",
"authorized_official_first_name": "TREVOR",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "706-745-9621",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Staton Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blairsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.