ADVANCED DENTAL CARE (NPI# 1104152404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104152404 |
| Entity Type | Organization |
| Organization Name | ADVANCED DENTAL CARE |
| Practice Address |
3211 Wildwood Plantation Dr Valdosta GA 31605-1042 |
| Practice Telephone | 2292424441 |
| Practice Fax Number | 2292424471 |
| Mailing Telephone | 2292424441 |
| Mailing Fax Number | 2292424471 |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |
| Authorized Official Name | DR. WILLIAM ASHLEY MOORMAN (OWNER/DENTIST) |
| Authorized Official Telephone | 2292424441 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN011637 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467987404 | Advanced Dental Care | Dentist | 950 W Stacy Rd, 150, Allen, TX 75013-9998 | 2017-04-27 |
| 1003366790 | Advanced Dental Care | Dentist | 388 Cambridge St, Burlington, MA 01803-1945 | 2016-10-06 |
| 1295182905 | Advanced Dental Care | Clinic/Center | 125 Wedgewood Dr, Columbia, IL 62236-1052 | 2016-05-23 |
| 1356647374 | Advanced Dental Care | Dentist | 965 E Columbus St, Kenton, OH 43326-1650 | 2011-02-09 |
| 1801186986 | Advanced Dental Care | Dentist | 2457 N Lincoln Ave, Chicago, IL 60614-8509 | 2011-04-11 |
| 1568694032 | Advanced Dental Care | Clinic/Center | 36 Bow St, Somerville, MA 02143-2934 | 2009-08-18 |
| 1922275718 | Advanced Dental Care | Dentist | 2 Executive Blvd Ofc 307, Suffern, NY 10901-4166 | 2008-05-12 |
| 1245433150 | Advanced Dental Care | Dentist | 532 S Oxford Valley Rd, Fairless Hills, PA 19030-2615 | 2007-06-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ADVANCED DENTAL CARE | 300 Sw Columbia St Ste 102, Bend, OR 97702 |
| Ohio Business Entities | ADVANCED DENTAL CARE & AESTHETICS - WALTERS | 4780 Clague Rd., North Olmsted, OH 44070 |
| New York State Corporations | ADVANCED DENTAL CARE OF RIVERDALE, P.C. | 2600 Netherland Ave., Bronx, Ny 10463 |
| New York State Corporations | ADVANCED DENTAL CARE OF WESTCHESTER, P.C. | 1329a North Ave, Ste 104, New Rochelle, New York 10804 |
| Virginia Business Entities | ADVANCED DENTAL CARE P.L.L.C. | 1707 Osage St Ste 402, Alexandria, Virginia 22302 |
| Massachusetts Corporations | ADVANCED DENTAL CARE, INC. | 642 Dexter St., Central Falls, RI 02863 |
| Iowa Business Entities | ADVANCED DENTAL CARE, P.C. | 2335 Blairsferry Road Ne, Cedar Rapids, IA 52402 |
| New York State Corporations | ADVANCED DENTAL CARE, PLLC | 2 Executive Blvd, Ste #304,307, Suffern, Ny 10901 |
| Street Address |
3211 WILDWOOD PLANTATION DR |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31605-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484718 | Mckenna Kristine Bachmann | Specialist/Technologist | Moody Air Force Base, Valdosta, GA 31605 | 2020-07-14 |
| 1376056366 | Michael Brent Robinson Sr. | Contractor | 3863 Camellia Dr., Valdosta, GA 31605 | 2017-11-13 |
| 1679013452 | Baptist Specialty Physicians Inc | Pediatrics | 3301 N Oak St Ext, Valdosta, GA 31605 | 2017-02-28 |
| 1649683541 | Dustin Ross Kilby | Dentist | 2704 Oak Center Dr, Valdosta, GA 31605 | 2014-06-09 |
| 1659643286 | Brittnaey Nicole Freeman | Behavioral Analyst | 3982 Karaline Cir, Valdosta, GA 31605 | 2012-01-27 |
| 1780970335 | Laura Christen Cribbs | Counselor | 3312-d N Oak Street Ext, Valdosta, GA 31605 | 2011-06-22 |
| 1992090633 | Mary Katelyn Harper | Pharmacist | 3200 North Oak Street, Valdosta, GA 31605 | 2011-06-10 |
| 1053532937 | Robert Mark Pearson | Dentist | 3227 N. Oak St. Ext., Valdosta, GA 31605 | 2007-05-01 |
| 1083838650 | Am Sleep Diagnostics and Research Center | Clinic/Center | 3334 Greyatone Way, Valdosta, GA 31605 | 2007-04-12 |
| 1831236181 | William Ashley Moorman | Dentist | Advanced Dental Care, 3211 Wildwood Plantation Drive, Valdosta, GA 31605 | 2007-01-30 |
| Find all providers in zip 31605 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1780099507 | Ronnie Neil Jenkins Jr. | Dentist | 282 Norman Dr, Suite D, Valdosta, GA 31601-5487 | 2014-07-01 |
| 1720316250 | Nadezhda Dmitrievna Pokrovskaya | Dentist | 2722 N Oak St, Valdosta, GA 31602-1770 | 2009-11-20 |
| 1336310317 | Worthington Family Dentistry, P.C. | Dentist | 2804 N Oak St Ste B, Valdosta, GA 31602-5913 | 2008-03-18 |
| 1881807881 | Patrick W. Powell | Dentist | 3022 N Patterson St, Valdosta, GA 31602-1711 | 2007-05-07 |
| 1821121781 | Glenn T Swindle | Dentist | 114 W Moore St, Valdosta, GA 31602-2917 | 2007-03-13 |
| 1831236181 | William Ashley Moorman | Dentist | Advanced Dental Care, 3211 Wildwood Plantation Drive, Valdosta, GA 31605 | 2007-01-30 |
| 1184761447 | William S Moorman | Dentist | 3211 Wildwood Plantation Drive, Advanced Dental Care, Valdosta, GA 31605 | 2007-01-30 |
| 1295883957 | Stanley Bernard Marable | Dentist | 308 Janet St, Valdosta, GA 31602-2602 | 2007-01-08 |
| 1063580181 | Timothy T Grantham | Dentist | 103 W Cranford Ave, Valdosta, GA 31602-2930 | 2006-11-30 |
| Find all providers in VALDOSTA | ||||
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| 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.