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NPI 1063650562
● Active Type 2 · Organization
Whitaker Family Dentistry, Inc.
Dentist · Fort Valley, GA · NPI 1063650562
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Enumerated 2009 · 17 years on NPI
Whitaker Family Dentistry, Inc. is 1 of 4309 dentist organizations in Georgia.
NPI age
17 years
Enumerated 2009-01-22
Primary specialty
Dentist
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Whitaker
Owner/ Dentist
Last NPPES update
2021-07-08
Source: monthly bulk 2026-05
How this organization compares
Across 4309 active dentist providers in Georgia.
NPI age
17 years
≈ at median (18 yr)
Practice locations
2
1 secondary on file
NPI lifetime · 2009 → 2026
2009-01 Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
906 Orange St
Fort Valley, GA 310303456
📞 4788252001
Mailing address
906 Orange St
Fort Valley, GA 310303456
📞 4788252001
Additional practice locations
1 secondary location on file with NPPES.
Location 2
607 Bluebird Blvd
Fort Valley, GA 310305082
📞 4788252314
Authorized official
John G Whitaker
Owner/ Dentist
📞 4788252001
Individual providers at this organization
6 individual providers on file at this primary practice address.
Specialties
Dentist
Primary
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.
GA license #10256 taxonomy 1223G0001X
Practice context
Multi-provider organization.
6 individual providers on file at this primary address.
Plus 1 secondary practice location.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.