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AZALEA CITY FAMILY DENTISTRY
NPI 1295978047
Dentist - General Practice in Valdosta, GA

Active since April 09, 2009
414 PENDLETON PL, VALDOSTA, GA 31602(229) 244-3700(229) 247-0373 Get Directions Write a Review

NPPES record last updated: April 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Azalea City Family Dentistry NPPES

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

AZALEA CITY FAMILY DENTISTRY (NPI 1295978047) is a healthcare organization registered as a general practice in Valdosta, Georgia and active in the NPI registry since April 2009. The organization lists William W Broadfoot, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295978047
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAZALEA CITY FAMILY DENTISTRY
Location Address414 PENDLETON PLValdosta, GA 31602-2603
Mailing Address414 Pendleton PlValdosta, GA 31602-2603 · (229) 244-3700 · Fax (229) 247-0373
Phone(229) 244-3700
Fax(229) 247-0373
Organization SubpartNo
Authorized OfficialWilliam W BroadfootCeo · (229) 244-3700
Enumeration DateApril 9, 2009
✔ NPI 1295978047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN007995
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.
414 PENDLETON PL, Valdosta, GA 31602
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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

Other Providers at the Same Location NPPES

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

JAMES CHARLES BROADFOOT D.M.D.
Dentist
414 PENDLETON PL
VALDOSTA, GA 31602
Lowndes County (229) 244-3700

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 Azalea City Family Dentistry's NPI number?

The NPI number for Azalea City Family Dentistry is 1295978047. It was assigned to this organization in the NPPES registry on April 9, 2009.

Where is Azalea City Family Dentistry located?

Azalea City Family Dentistry is located at 414 Pendleton Pl, Valdosta, GA 31602. The listed phone number is (229) 244-3700.

What is Azalea City Family Dentistry'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 Azalea City Family Dentistry was last updated on April 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.