EFFINGHAM DENTAL ASSOCIATES,P.C. (NPI# 1275687642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275687642 |
| Entity Type | Organization |
| Organization Name | EFFINGHAM DENTAL ASSOCIATES,P.C. |
| Practice Address |
105 S Laurel St Springfield GA 31329-9255 |
| Mailing Address |
Po Box 517 105 South Laurel St. Springfield GA 31329-0517 |
| Practice Telephone | 9127546822 |
| Practice Fax Number | 9127544368 |
| Mailing Telephone | 9127546822 |
| Mailing Fax Number | 9127544368 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. VELMA R. NEASE (OFFICE MANAGER) |
| Authorized Official Telephone | 9127546822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
105 S LAUREL ST |
| City | SPRINGFIELD |
| State | GA |
| Zip Code | 31329-9255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508937210 | Donald Bryce Nelson Jr. | Dentist | 105 S Laurel St, Springfield, GA 31329-9255 | 2006-11-13 |
| 1003987785 | Robert Dean Nelson | Dentist | 105 S Laurel St, Springfield, GA 31329-9255 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447653167 | Mary Elizabeth Weaver | Licensed Practical Nurse | 802 Hwy 119 S, Springfield, GA 31329 | 2014-10-08 |
| 1023411733 | Bethany Thornton | Registered Nurse | 802 Us Highway 119 South, Springfield, GA 31329 | 2014-10-08 |
| 1821375593 | Heritage Counseling, Inc | Counselor | 1009 N Columbia Ave, Rincon, GA 31329 | 2011-11-09 |
| 1700170107 | Shonda Miller | Counselor | 275 First Street Ext, Springfield, GA 31329 | 2011-06-02 |
| 1902134638 | Optim Orthopedics, LLC | Orthopaedic Surgery | 459 Highway 119 South, Springfield, GA 31329 | 2009-11-18 |
| 1073642211 | Gateway Behavioral Health Services | Community/Behavioral Health | 275 First Street, Springfield, GA 31329 | 2007-03-05 |
| 1003945627 | Gateway Behavioral Health Services | Counselor | 275 First Street Extention, Springfield, GA 31329 | 2007-03-02 |
| 1821188228 | Quick Rx Drugs Inc | Pharmacy | 504 North Laurel Street, Springfield, GA 31329 | 2006-10-14 |
| 1386687275 | Janice E Ford | Nurse Practitioner | 1451 Highway 21 South, Suite H, Springfield, GA 31329 | 2006-06-14 |
| 1962960484 | Wendi Martin | Nurse Practitioner | 1571 Highway 21 S, Springfield, GA 31329 | 2019-03-04 |
| Find all providers in zip 31329 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092377 | Center for Dental Sleep Medicine, PC | Clinic/Center | 1795 Main St Ste 108, Springfield, MA 01103-1078 | 2020-01-21 |
| 1689228140 | Dr Dental of Massachusetts PC | Clinic/Center | 1101 Boston Road, Springfield, MA 01119 | 2019-08-01 |
| 1275094864 | Itooth Family Dentistry, LLC | Clinic/Center | 3211 E Battlefield St Ste 100, Springfield, MO 65804-4071 | 2019-03-27 |
| 1164918868 | Noble Family Dental PC | Clinic/Center | 665 Boston Rd, Springfield, MA 01119-1303 | 2018-07-05 |
| 1316430952 | Peterson Dental Care LLC | Clinic/Center | 2501 W Iles Ave Ste A, Springfield, IL 62704-6482 | 2018-06-08 |
| 1447765029 | Dental 32, L.L.C. | Clinic/Center | 2142 S Brentwood Blvd, Springfield, MO 65804-2539 | 2017-12-05 |
| 1922435148 | Kelly Dental LLC | Clinic/Center | 1655 S. Enterprise Ave Ste. A-3, Springfield, MO 65804 | 2013-10-02 |
| 1184986077 | All About Smiles Lc | Clinic/Center | 1717 E Cherokee St, Suite 104, Springfield, MO 65804-2335 | 2012-06-15 |
| 1285939157 | Derek R. Kaelin D.d.s, LLC | Clinic/Center | 4205 S Nature Center Way, Springfield, MO 65804-4921 | 2011-01-24 |
| 1295030203 | Derek R. Kaelin, D.d.s, LLC | Clinic/Center | 2105 W Kearney St Ste A, Springfield, MO 65803-1666 | 2011-01-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 31329 |
Please comment or provide details below to improve the information on EFFINGHAM DENTAL ASSOCIATES,P.C..
| 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.