Organization Active NPI

Staton Family Dentistry

  • Dental Clinic/Center
  • Blairsville, GA
National Provider Identifier
1992479356
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Dr. Trevor William Staton, DMDNPI 1801412655
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.