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

Q: What is Macon Dentist Office, PC's NPI number?

The NPI number for Macon Dentist Office, PC is 1083074868. It was assigned to this organization in the NPPES registry on March 7, 2016. The provider is doing business as Macon Dentist Office.

Q: What is Macon Dentist Office, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

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: August 09, 2026.

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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

Phone(478) 654-3111

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

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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Macon Dentist Office, PC's NPI number?

The NPI number for Macon Dentist Office, PC is 1083074868. It was assigned to this organization in the NPPES registry on March 7, 2016. The provider is doing business as Macon Dentist Office.

Where is Macon Dentist Office, PC located?

Macon Dentist Office, PC is located at 206 Tom Hill Sr Blvd Suite 106, Macon, GA 31210. The listed phone number is (478) 654-3111.

What is Macon Dentist Office, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Macon Dentist Office, PC was last updated on March 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.