BENJAMIN M PRIDEMORE JR. DDS
NPI 1336153592
Dentist - Orthodontics and Dentofacial Orthopedics in Rome, GA

Active since July 27, 2006
23 JOHN MADDOX DR NW, ROME, GA 30165(706) 234-0877(706) 232-5327 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin M Pridemore Jr. Dds NPPES

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

BENJAMIN M PRIDEMORE JR. DDS (NPI 1336153592) is an individual orthodontics and dentofacial orthopedics provider in Rome, Georgia, licensed in Georgia (DN007095) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1336153592
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameBENJAMIN M PRIDEMORE JR.Credential: DDS
Location Address23 JOHN MADDOX DR NWRome, GA 30165-1413
Mailing Address23 John Maddox Dr NwRome, GA 30165-1413 · (706) 234-0877 · Fax (706) 232-5327
Fax(706) 232-5327
Sole ProprietorYes
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1336153592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in GA · DN007095
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
23 JOHN MADDOX DR NW, Rome, GA 30165

Other Identifiers 1

OtherDN007095GA · State License Number

Other Providers at the Same Location NPPES

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

Dentist (Orthodontics and Dentofacial Orthopedics)
23 JOHN MADDOX DR NW
ROME, GA 30165

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 Benjamin Pridemore's NPI number?

The NPI number for Benjamin Pridemore is 1336153592. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Benjamin Pridemore located?

Benjamin Pridemore practices at 23 John Maddox Dr NW, Rome, GA 30165. The listed phone number is (706) 234-0877.

What is Benjamin Pridemore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Benjamin Pridemore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.