MACON DENTIST OFFICE
NPI 1083074868
Dentist - General Practice in Macon, GA

Active since March 07, 2016
206 TOM HILL SR BLVD, SUITE 106, MACON, GA 31210(478) 654-3111(478) 246-0074 Get Directions Write a Review

NPPES record last updated: March 7, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Macon Dentist Office NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACON DENTIST OFFICE (NPI 1083074868) is a healthcare organization registered as a general practice in Macon, Georgia and active in the NPI registry since March 2016. The organization lists Katie L Mccann, Owner, as its authorized official.

NPPES Registry Identity

NPI1083074868
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMACON DENTIST OFFICE, PC
Location Address206 TOM HILL SR BLVD, SUITE 106Macon, GA 31210
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495
Fax(478) 246-0074
Organization SubpartNo
Authorized OfficialKatie L MccannOwner · (478) 654-3111
Enumeration DateMarch 7, 2016
NPI 1083074868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

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.

206 TOM HILL SR BLVD, Macon, GA 31210

Other Names 1

Doing Business AsMacon Dentist Office

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083074868, enumerated as an "organization" on March 07, 2016.

The provider is located at 206 TOM HILL SR BLVD SUITE 106 MACON, GA 31210 and the phone number is (478) 654-3111.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.