MCGOVERN DENTAL, LLC
NPI 1972884344
Dentist - General Practice in Douglas, GA

Active since August 30, 2011
1370 GORDON ST W, DOUGLAS, GA 31533(912) 384-1306(912) 384-1308 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mcgovern Dental, Llc NPPES

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

MCGOVERN DENTAL, LLC (NPI 1972884344) is a healthcare organization registered as a general practice in Douglas, Georgia and active in the NPI registry since August 2011. The organization lists Justin Mcgovern, Owner, as its authorized official.

NPPES Registry Identity

NPI1972884344
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMCGOVERN DENTAL, LLC
Location Address1370 GORDON ST WDouglas, GA 31533-3432
Mailing Address1370 Gordon St WDouglas, GA 31533-3432 · (912) 384-1306 · Fax (912) 384-1308
Fax(912) 384-1308
Organization SubpartNo
Authorized OfficialJustin McgovernOwner · (912) 384-1306
Enumeration DateAugust 30, 2011
NPI 1972884344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN013714
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.
1370 GORDON ST W, Douglas, GA 31533

Other Identifiers 1

Medicaid003106996AGA

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

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

Dentist
1370 GORDON ST W
DOUGLAS, GA 31533

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 Mcgovern Dental, LLC's NPI number?

The NPI number for Mcgovern Dental, LLC is 1972884344. It was assigned to this organization in the NPPES registry on August 30, 2011.

Where is Mcgovern Dental, LLC located?

Mcgovern Dental, LLC is located at 1370 Gordon St W, Douglas, GA 31533. The listed phone number is (912) 384-1306.

What is Mcgovern Dental, LLC'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 Mcgovern Dental, LLC was last updated on August 30, 2011. 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.