DONALD A. BETHEA, D.D.S., L.L.C.
NPI 1124432166
Dentist - Pediatric Dentistry in Waycross, GA

Active since June 18, 2014
410 LISTER ST, WAYCROSS, GA 31501(912) 285-1218 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donald A. Bethea, D.d.s., L.l.c. NPPES

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

DONALD A. BETHEA, D.D.S., L.L.C. (NPI 1124432166) is a healthcare organization registered as a pediatric dentistry in Waycross, Georgia and active in the NPI registry since June 2014. The organization lists Donald Alan Bethea, Denitst/owner, as its authorized official.

NPPES Registry Identity

NPI1124432166
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameDONALD A. BETHEA, D.D.S., L.L.C.
Location Address410 LISTER STWaycross, GA 31501-5226
Mailing Address410 Lister StWaycross, GA 31501-5226 · (912) 285-1218
Organization SubpartNo
Authorized OfficialDonald Alan BetheaDenitst/owner · (912) 285-1218
Enumeration DateJune 18, 2014
NPI 1124432166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in GA · DN011225
Definition
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.
410 LISTER ST, Waycross, GA 31501

Other Identifiers 2

Medicaid5440634TN
Medicaid003143408AGA

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

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
410 LISTER ST
WAYCROSS, GA 31501
Dentist (Pediatric Dentistry)
410 LISTER ST
WAYCROSS, GA 31501
Dentist (Pediatric Dentistry)
410 LISTER ST
WAYCROSS, GA 31501

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 Donald A. Bethea, D.D.S., L.L.C.'s NPI number?

The NPI number for Donald A. Bethea, D.D.S., L.L.C. is 1124432166. It was assigned to this organization in the NPPES registry on June 18, 2014.

Where is Donald A. Bethea, D.D.S., L.L.C. located?

Donald A. Bethea, D.D.S., L.L.C. is located at 410 Lister St, Waycross, GA 31501. The listed phone number is (912) 285-1218.

What is Donald A. Bethea, D.D.S., L.L.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Donald A. Bethea, D.D.S., L.L.C. accept?

Health plans from UnitedHealthcare list Donald A. Bethea, D.D.S., L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donald A. Bethea, D.D.S., L.L.C. was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.