WINTERVILLE DENTAL, LLC


Address: 104 Moores Grove Rd, Winterville, GA 30683-1506
Phone: 7067427000

WINTERVILLE DENTAL, LLC (NPI# 1235635715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235635715
Entity Type Organization
Organization Name WINTERVILLE DENTAL, LLC
Practice Address 104 Moores Grove Rd
Winterville
GA 30683-1506
Practice Telephone 7067427000
Practice Fax Number 7067422145
Mailing Telephone 7067427000
Mailing Fax Number 7067422145
Enumeration Date 2018-04-03
Last Update Date 2018-04-03
Authorized Official Name DR. PHILLIP HUE DURDEN IV (MEMBER)
Authorized Official Telephone 7067427000
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Office Location

Street Address 104 MOORES GROVE RD
City WINTERVILLE
State GA
Zip Code 30683-1506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851493977 Phillip Hue Durden Iv Dentist 104 Moores Grove Rd, Winterville, GA 30683-1506 2006-09-01
1255686887 Brian Andrew Mitchell Dentist 104 Moores Grove Rd, Winterville, GA 30683-1506 2012-07-19
1528233384 Phillip H. Durden, Dmd, PC Clinic/Center 104 Moores Grove Rd, Winterville, GA 30683-1506 2008-04-23
1457545170 Lila Frazer Ralston Physical Therapy Assistant 104 Moores Grove Rd, Suite 100, Winterville, GA 30683-1506 2007-09-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609049444 Assisted Living Concepts Inc Assisted Living Facility 124 Avery Street, Winterville, WI 30683 2008-04-11
1841226339 Harris Brothers Apothecaries Inc Pharmacy 104 Main St, Winterville, GA 30683-0158 2006-06-25
1558843730 Kristin Lee Kibbe Audiologist 375 Winter St, Winterville, GA 30683-1408 2018-09-04
1952671299 L Hubbrd Host Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 170 Smithonia Rd, Winterville, GA 30683-1417 2012-01-04
1861500233 Medical Rehabilitation Systems, LLC Physical Therapist 105 Moores Grove Road, Winterville, GA 30683-1506 2006-08-27
1134149883 Ray Whitfield Nurse Anesthetist, Certified Registered 1150 Moores Grove Rd, Winterville, GA 30683-1516 2006-07-19
1831224195 Teresa F Vaughn Physical Therapist 105 Moores Grove Rd, Winterville, GA 30683-1517 2007-02-23
1578992129 Todd Matthew Owens Physical Therapist 105 Moores Grove Rd, Winterville, GA 30683-1517 2013-11-04
1265789143 Kevin Willenbring Physical Therapist 105 Moores Grove Rd, Winterville, GA 30683-1517 2012-08-09
1659446979 Megan Kate Smith Physical Therapist 150 Sagewood Dr, Winterville, GA 30683-1563 2006-11-21
Find all providers in zip 30683

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528233384 Phillip H. Durden, Dmd, PC Clinic/Center 104 Moores Grove Rd, Winterville, GA 30683-1506 2008-04-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922606490 Smile Pleasant Hill LLC Clinic/Center 828 Pleasant Hill Rd Nw Ste 10, Lilburn, GA 30047-2757 2020-10-15
1982213583 Munoz Dental Resources LLC Clinic/Center 4141 Steve Reynolds Blvd Ste 1, Norcross, GA 30093-3060 2020-07-29
1407474794 Familia Dentistry of Georgia, LLC Clinic/Center 4574 Lawrenceville Hwy Nw Ste 120r, Lilburn, GA 30047-3605 2020-07-13
1336763648 Bethlehem Orthodontics Clinic/Center 426 Exchange Blvd Ste 400, Bethlehem, GA 30620-1791 2020-06-02
1770106882 Smiles By Dixon PC Clinic/Center 690 Lanier Park Dr, Gainesville, GA 30501-2061 2020-05-22
1811516479 Mouthpeace Dental 4, LLC Clinic/Center 541 Forest Pkwy Ste 18, Forest Park, GA 30297-6110 2020-04-14
1427677541 Mh Dental Group, LLC Clinic/Center 1305 Cedarcrest Rd Ste 115, Dallas, GA 30132-8201 2020-04-09
1104451160 Sno Healthcare Group Clinic/Center 2424 Roswell Rd Ste 120, Marietta, GA 30062 2020-03-10
1952935710 West Cobb Periodontics and Implant Dentistry LLC Clinic/Center 44 Old Hamilton Rd Nw Ste 200, Marietta, GA 30064-5901 2020-03-02
1659904241 Dental Now Kids LLC Clinic/Center 4151 Steve Reynolds Blvd Ste 2, Norcross, GA 30093-3060 2020-02-21
Find all providers with the same taxonomy

Competitor

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City WINTERVILLE
Zip Code 30683

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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