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TIFT REGIONAL DENTAL GROUP, PC
NPI 1851460075
Dentist - General Practice in Tifton, GA

Active since November 06, 2006
209 24TH ST E, TIFTON, GA 31794(229) 382-0467 Get Directions Write a Review

NPPES record last updated: September 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tift Regional Dental Group, Pc NPPES

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

TIFT REGIONAL DENTAL GROUP, PC (NPI 1851460075) is a healthcare organization registered as a general practice in Tifton, Georgia and active in the NPI registry since November 2006. The organization lists Angela Waller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1851460075
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIFT REGIONAL DENTAL GROUP, PC
Location Address209 24TH ST ETifton, GA 31794-3170
Mailing AddressPo Box 1295Tifton, GA 31793-1295 · (229) 382-0467
Phone(229) 382-0467
Organization SubpartNo
Authorized OfficialAngela WallerSecretary · (229) 382-0467
Enumeration DateNovember 6, 2006
Last NPPES UpdateSeptember 12, 2008
✔ NPI 1851460075 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.
209 24TH ST E, Tifton, GA 31794
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Other Identifiers 2

Medicaid111718GA
Medicaid40104GA

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.

DR. JAMES T PHILLIPS JR. DMD
Dentist (General Practice)
209 24TH ST E
TIFTON, GA 31794
Tift County (229) 382-0467
DR. CHRISTOPHER M HASTY DMD
Dentist (General Practice)
209 24TH ST E
TIFTON, GA 31794
Tift County (229) 382-0467
DR. HEATH M MILLER D.M.D
Dentist
209 24TH ST E
TIFTON, GA 31794
Tift County (229) 382-8711

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 Tift Regional Dental Group, PC's NPI number?

The NPI number for Tift Regional Dental Group, PC is 1851460075. It was assigned to this organization in the NPPES registry on November 6, 2006.

Where is Tift Regional Dental Group, PC located?

Tift Regional Dental Group, PC is located at 209 24th St E, Tifton, GA 31794. The listed phone number is (229) 382-0467.

What is Tift Regional Dental Group, 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 Tift Regional Dental Group, PC was last updated on September 12, 2008. 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.