MACON PERIODONTICS AND IMPLANT DENTISTRY, LLC
NPI 1457606881
Dentist - Periodontics in Macon, GA

Active since July 23, 2012
1923 HARDEMAN AVE, MACON, GA 31201(478) 742-4254(478) 742-1457 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Macon Periodontics And Implant Dentistry, Llc NPPES

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

MACON PERIODONTICS AND IMPLANT DENTISTRY, LLC (NPI 1457606881) is a healthcare organization registered as a periodontics in Macon, Georgia and active in the NPI registry since July 2012. The organization lists Kay Willis, Business Coordinator, as its authorized official.

NPPES Registry Identity

NPI1457606881
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameMACON PERIODONTICS AND IMPLANT DENTISTRY, LLC
Location Address1923 HARDEMAN AVEMacon, GA 31201-1162
Mailing Address1923 Hardeman AveMacon, GA 31201-1162 · (478) 742-4254 · Fax (478) 742-1457
Fax(478) 742-1457
Organization SubpartNo
Authorized OfficialKay WillisBusiness Coordinator · (478) 742-4254
Enumeration DateJuly 23, 2012
NPI 1457606881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1923 HARDEMAN AVE, Macon, GA 31201

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 3

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

Dentist (Periodontics)
1923 HARDEMAN AVE
MACON, GA 31201
Dentist (Periodontics)
1923 HARDEMAN AVE
MACON, GA 31201
Dentist (Pediatric Dentistry)
1923 HARDEMAN AVE
MACON, GA 31201

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 Periodontics And Implant Dentistry, LLC's NPI number?

The NPI number for Macon Periodontics And Implant Dentistry, LLC is 1457606881. It was assigned to this organization in the NPPES registry on July 23, 2012.

Where is Macon Periodontics And Implant Dentistry, LLC located?

Macon Periodontics And Implant Dentistry, LLC is located at 1923 Hardeman Ave, Macon, GA 31201. The listed phone number is (478) 742-4254.

What is Macon Periodontics And Implant Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Macon Periodontics And Implant Dentistry, LLC was last updated on July 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.