JOHNSON DENTAL GROUP, LLC (NPI# 1699783837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699783837 |
| Entity Type | Organization |
| Organization Name | JOHNSON DENTAL GROUP, LLC |
| Other Organization Name | FAMILY DENTISTRY, JOHN P. JOHNSON, D.D.S. |
| Practice Address |
615 W. Oglethorpe Hwy Hinesville GA 31313 |
| Mailing Address |
P. O. Box 859 Hinesville GA 31310 |
| Practice Telephone | 9128773070 |
| Practice Fax Number | 9128773082 |
| Mailing Telephone | 9128773070 |
| Mailing Fax Number | 9128773082 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN PAUL JOHNSON (PRSIDENT CEO OF JOHNSON DENTAL GROU) |
| Authorized Official Telephone | 9128773070 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN010850 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | UNITED CONCORDIA | 1469927 | 01 |
| Other Name | Type Code |
|---|---|
| FAMILY DENTISTRY, JOHN P. JOHNSON, D.D.S. | Doing Business As Name - Organization |
| Street Address |
615 W. OGLETHORPE HWY |
| City | HINESVILLE |
| State | GA |
| Zip Code | 31313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649288820 | John Paul Johnson | Dentist | 615 W. Oglethorpe Hwy, Hinesville, GA 31313 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877469 | Brennan Roger Milbury | Naturopath | 4876 Ga 196 W, Hinesville, GA 31313 | 2020-06-26 |
| 1558982660 | Hinesville Day Spa LLC | Massage Therapist | 951 E G Miles Pkwy, Suite B, Hinesville, GA 31313 | 2020-04-29 |
| 1104459932 | Johnny Roger Terry | Counselor | 115 W Oglethorpe Hwy, Hinesville, GA 31313 | 2020-02-20 |
| 1043875594 | Liberty Regional Medical Center | Pharmacy | 462 Elma G. Miles Parkway, Hinesville, GA 31313 | 2019-05-09 |
| 1730646811 | Jennifer Lee Reffeor | Nurse Practitioner | 109 W Oglethorpe Highway, Hinesville, GA 31313 | 2019-02-26 |
| 1760907968 | Kenya Dominic | Specialist | 445 E.g. Miles Parkway Ste 207, Hinesville, GA 31313 | 2017-08-08 |
| 1902358393 | Tricia Amelung | Nurse Practitioner | 512 South Main St., Suite 1a, Hinesville, GA 31313 | 2016-11-01 |
| 1881065449 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 801-a East General Stewart Way, Hinesville, GA 31313 | 2015-10-08 |
| 1245614916 | Tracey Bazemore | Counselor | 318 S. Wellborn Street, Suite C, Hinesville, GA 31313 | 2015-07-13 |
| 1831592021 | Jennifer Grisnik | Behavioral Analyst | 306 N. Main St., Suite 1a1, Hinesville, GA 31313 | 2014-10-01 |
| Find all providers in zip 31313 | ||||
| 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 |
|---|---|---|---|---|
| 1710444286 | Jebediah S Christy Dds - Hinesville Pllc | Dentist | 849 W Oglethorpe Hwy Ste 140, Hinesville, GA 31313-4495 | 2019-02-21 |
| 1659581437 | Charles R Lyon | Dentist | 124 W Ml King Jr Dr, Hinesville, GA 31313-3226 | 2007-05-23 |
| 1255459368 | Howard Family Dental-hinesville, LLC | Dentist | 319 W General Screven Way, Suite H, Hinesville, GA 31313-3004 | 2007-03-27 |
| 1922124478 | Maiko Daisy Broadhead | Dentist | 319 W General Screven Way Ste H, Hinesville, GA 31313-3065 | 2007-03-22 |
| 1902941461 | Donna Bowers Phillips | Dentist | 745 South Main St., Hinesville, GA 31313-2542 | 2007-02-21 |
| 1154438711 | William Ernst Wege | Dentist | 124 West M L King Jr. Dr., Hinesville, GA 31313-3247 | 2006-08-23 |
| 1801363247 | Bre'on Monique Anderson | Dentist | 319 W General Screven Way Ste H, Hinesville, GA 31313-3065 | 2018-10-24 |
| 1073034435 | Joseph Marvin Merritt | Dentist | 319 W General Screven Way Ste H, Hinesville, GA 31313-3065 | 2017-07-06 |
| 1760841217 | Oglethorpe Family Dental, LLC | Dentist | 615 W Oglethorpe Hwy, Hinesville, GA 31313-4485 | 2016-02-12 |
| 1871836593 | Oglethorpe Family Dental, PC | Dentist | 615 W Oglethorpe Hwy, Hinesville, GA 31313-4485 | 2013-04-01 |
| Find all providers in HINESVILLE | ||||
| City | HINESVILLE |
| Zip Code | 31313 |
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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.