DENTAL CENTER OF VIDALIA
NPI 1104044056
Dentist - General Practice in Vidalia, GA

Q: What is Dental Center Of Vidalia's NPI number?

The NPI number for Dental Center Of Vidalia is 1104044056. It was assigned to this organization in the NPPES registry on April 23, 2007.

Q: What is Dental Center Of Vidalia's specialty?

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

Active since April 23, 2007

1209 EAST FIRST STREET, VIDALIA, GA 30474(912) 537-7048 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dental Center Of Vidalia NPPES

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

DENTAL CENTER OF VIDALIA (NPI 1104044056) is a healthcare organization registered as a general practice in Vidalia, Georgia and active in the NPI registry since April 2007. The organization lists Angie J. Waller, Financial Coordinator, as its authorized official.

NPPES Registry Identity

NPI1104044056

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDENTAL CENTER OF VIDALIA

Location Address1209 EAST FIRST STREETVidalia, GA 30474

Mailing AddressP.o. Box 524Vidalia, GA 30475 · (912) 537-7048

Phone(912) 537-7048

Organization SubpartNo

Authorized OfficialAngie J. WallerFinancial Coordinator · (912) 537-7048

Enumeration DateApril 23, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1104044056 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.

1209 EAST FIRST STREET, Vidalia, GA 30474

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Dental Center Of Vidalia's NPI number?

The NPI number for Dental Center Of Vidalia is 1104044056. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is Dental Center Of Vidalia located?

Dental Center Of Vidalia is located at 1209 East First Street, Vidalia, GA 30474. The listed phone number is (912) 537-7048.

What is Dental Center Of Vidalia'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 Dental Center Of Vidalia was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.