Provider Type Icon

JOHN AND PAUL DENTISTRY LLC NPI 1023476652


NPI Information

NPI: 1023476652
Provider Name: JOHN AND PAUL DENTISTRY, LLC

Doing Business As: AMBROSE PEDIATRIC DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
160 PIERCE AVE
MACON, GA
ZIP 31204
Phone: (478) 743-0901
Get Directions

JOHN AND PAUL DENTISTRY, LLC is a pediatric dentistry dentist in Macon, GA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. JOHN AND PAUL DENTISTRY, LLC NPI is 1023476652. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Ambrose Pediatric Dentistry.

The provider's business location address is:

160 PIERCE AVE
MACON, GA
ZIP 31204-871
Phone: (478) 743-0901

The provider's authorized official is Tina Locher .
The authorized official title is Office Manager and has the following contact phone number (478) 743-0901.

The enumeration date for this NPI number is 2/10/2016 and was last updated on 2/10/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryDN007573GEORGIANo
21223G0001XDentistGeneral PracticeDN013328GEORGIANo
31223P0221XDentistPediatric DentistryDN013383GEORGIANo
41223P0221XDentistPediatric DentistryDN012737GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1134015103MEDICAIDGEORGIA
2000046395MEDICAIDGEORGIA
3292364594MEDICAIDGEORGIA
4003133063MEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.