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YOUTH DENTISTRY OF MACON, PC
NPI 1851366462
Dentist - General Practice in Macon, GA

Active since February 18, 2006
1536 EISENHOWER PKWY, MACON, GA 31206(478) 781-4333(478) 781-4331 Get Directions Write a Review

NPPES record last updated: September 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Youth Dentistry Of Macon, Pc NPPES

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

YOUTH DENTISTRY OF MACON, PC (NPI 1851366462) is a healthcare organization registered as a general practice in Macon, Georgia and active in the NPI registry since February 2006. The organization lists Linda S Zoeller, Vp, Legal Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1851366462
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameYOUTH DENTISTRY OF MACON, PC
Location Address1536 EISENHOWER PKWYMacon, GA 31206-3130
Mailing Address1536 Eisenhower PkwyMacon, GA 31206-3130 · (478) 781-4333 · Fax (478) 781-4331
Phone(478) 781-4333
Fax(478) 781-4331
Organization SubpartNo
Authorized OfficialLinda S ZoellerVp, Legal Licensing & Credentialing · (478) 781-4333
Enumeration DateFebruary 18, 2006
Last NPPES UpdateSeptember 6, 2016
✔ NPI 1851366462 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.
1536 EISENHOWER PKWY, Macon, GA 31206
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Other Identifiers 3

Other539109GA · Avesis
Other1905601GA · United Concordia
Medicaid478300670AGA

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 7

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

MICHELLE S GWYN
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333
EISENHOWER PARKWAY DENTAL GROUP, LLC
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333
PHOEBY K LEWIS DMD
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333
KENIA Y MARMOL MENDOZA
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (305) 450-5432
ANDREA DAVIS WOOD DMD
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333
DR. TARA LYNN BROOKS DDS
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333
DR. MARTHA LORENA SANCHEZ DMD
Dentist (General Practice)
1536 EISENHOWER PKWY
MACON, GA 31206
Bibb County (478) 781-4333

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 Youth Dentistry Of Macon, PC's NPI number?

The NPI number for Youth Dentistry Of Macon, PC is 1851366462. It was assigned to this organization in the NPPES registry on February 18, 2006.

Where is Youth Dentistry Of Macon, PC located?

Youth Dentistry Of Macon, PC is located at 1536 Eisenhower Pkwy, Macon, GA 31206. The listed phone number is (478) 781-4333.

What is Youth Dentistry Of Macon, PC'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 Youth Dentistry Of Macon, PC was last updated on September 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.