BROOKS DENTAL ASSOCIATES NPI 1023301348

Dentist in Blakely, GA

NPI 1023301348 Organization Dentist

About BROOKS DENTAL ASSOCIATES

Brooks Dental Associates is a provider established in Blakely, Georgia specializing in dentist. The NPI number of Brooks Dental Associates is 1023301348 and was assigned on May 2011. The practitioner's primary taxonomy code is 122300000X with license number DN007286 (GA). The provider is registered as an organization and their NPI record was last updated 10 years ago. Brooks Dental Associates operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Charles P Brooks Sr. Dds (Owner)

A dentist like Brooks Dental Associates is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1023301348

Provider NameBROOKS DENTAL ASSOCIATES
Provider Location Address13762 MAGNOLIA ST BLAKELY, GA 39823
Provider Mailing AddressPO BOX 707 BLAKELY, GA 39823
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-19-2011
Last Update Date05-19-2011


Primary Taxonomy

Taxonomy Code122300000X
ClassificationDentist
TypeDental Providers
License No.DN007286
License StateGA
Taxonomy DescriptionA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Business Address

BROOKS DENTAL ASSOCIATES
13762 MAGNOLIA ST
BLAKELY, GA
ZIP 39823
Phone: (229) 723-4111
Fax: (229) 723-6083

Get Directions


Mailing Address

BROOKS DENTAL ASSOCIATES
PO BOX 707
BLAKELY, GA
ZIP 39823
Phone: (229) 723-4111
Fax: (229) 723-6083



Authorized Official

Authorized Official NameDR. CHARLES P BROOKS SR. DDS
Authorized Official TitleOWNER
Authorized Official Phone(229) 723-4111

Group Taxonomy


193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1122300000XDental ProvidersDentistDN014123GANo

Taxonomy Description: a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
00044789CMEDICAID (05)GA
203717975AMEDICAID (05)GA

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366897977BROOKS DENTAL ASSOCIATES, INC
Organization
Dentist (General Practice)13762 MAGNOLIA ST
BLAKELY, GA 39823
(229) 723-4111
1508177825DR. CHARLES PASCHAL BROOKS JR. D.M.D.
Individual
Dentist (General Practice)13762 MAGNOLIA ST
BLAKELY, GA 39823
(229) 723-4111

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.