PEACH FAMILY DENTISTRY,LLC
NPI 1902017270
Dentist - General Practice in Fort Valley, GA

Active since May 25, 2007
302 KNOXVILLE ST, FORT VALLEY, GA 31030(478) 825-3315(478) 825-8396 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About PEACH FAMILY DENTISTRY,LLC

This page provides the complete NPI Profile along with additional information for Peach Family Dentistry,llc, a provider established in Fort Valley, Georgia operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1902017270 assigned on May 2007. The practitioner's primary taxonomy code is 1223G0001X with license number DN008283 (GA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Dawson Kendrick Mathews D.m.d. (Owner)

NPI
1902017270 Verify this NPI
Provider Name
PEACH FAMILY DENTISTRY,LLC
Entity Type
Organization
Location Address
302 KNOXVILLE ST FORT VALLEY, GA 31030
Location Phone
(478) 825-3315
Location Fax
(478) 825-8396
Mailing Address
302 KNOXVILLE ST FORT VALLEY, GA 31030
Mailing Phone
(478) 825-3315
Mailing Fax
(478) 825-8396
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2007
Last Update Date
08-22-2020
Code Navigator

A dentist like Peach Family Dentistry,llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
DN008283
License State
GA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DAWSON KENDRICK MATHEWS D.M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(478) 825-3315

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
302 KNOXVILLE ST
FORT VALLEY, GA 31030
Dental Hygienist
302 KNOXVILLE ST
FORT VALLEY, GA 31030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902017270, enumerated as an "organization" on May 25, 2007.

The provider is located at 302 KNOXVILLE ST FORT VALLEY, GA 31030 and the phone number is (478) 825-3315.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.