GRIMSLEY DENTAL CLINIC, LLC
NPI 1265681092
Clinic/Center - Dental in Colquitt, GA

NPI Status: Active since September 17, 2008

Contact Information

115 N CUTHBERT ST
COLQUITT, GA
ZIP 39837
Phone: (229) 758-3345
Fax: (229) 758-3339

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  • Organization
  • Clinic/Center
  • Dental

About GRIMSLEY DENTAL CLINIC, LLC

This page provides the complete NPI Profile along with additional information for Grimsley Dental Clinic, Llc, a provider established in Colquitt, Georgia operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1265681092 assigned on September 2008. The practitioner's primary taxonomy code is 261QD0000X with license number DN013335 (GA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Joseph W Grimsley Dmd (Dentist)

NPI
1265681092
Provider Name
GRIMSLEY DENTAL CLINIC, LLC
Entity Type
Organization
Location Address
115 N CUTHBERT ST COLQUITT, GA 39837
Location Phone
(229) 758-3345
Location Fax
(229) 758-3339
Mailing Address
115 N CUTHBERT ST COLQUITT, GA 39837
Mailing Phone
(229) 758-3345
Mailing Fax
(229) 758-3339
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-17-2008
Last Update Date
09-17-2008
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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

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
DN013335
License State
GA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QD0000XAmbulatory Health Care Facilities

Clinic/Center
Dental

DN010031 (GA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JOSEPH W GRIMSLEY DMD

Authorized Official Title
DENTIST
Authorized Official Phone
(229) 758-3345

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
300014425AMEDICAID (05)GA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265681092
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221251282018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 2 + 8 + 2 + 0 + 1 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1265681092 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275565889DR. JOSEPH WAYNE GRIMSLEY DMD
Individual
Dentist (General Practice)115 N CUTHBERT ST
COLQUITT, GA 39837
(229) 758-3345
1992065106COLQUITT DENTAL CARE,LLC
Organization
Clinic/Center (Dental)115 N CUTHBERT ST
COLQUITT, GA 39837
(229) 758-3345
1679505283DR. ROBERT ANSON LANE DMD
Individual
Dentist (General Practice)115 N CUTHBERT ST
COLQUITT, GA 39837
(229) 758-3345

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265681092, enumerated in the NPI registry as an "organization" on September 17, 2008

The provider is located at 115 N Cuthbert St Colquitt, Ga 39837 and the phone number is (229) 758-3345

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 17, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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