Home
/
Specialty
/
Dentist
/
GA
/
NPI 1124432166
● Active Type 2 · Organization
Donald A. Bethea, D.d.s., L.l.c.
Dentist · Waycross, GA · NPI 1124432166
·
Enumerated 2014 · 11 years on NPI
Donald A. Bethea, D.d.s., L.l.c. is 1 of 539 dentist organizations in Georgia.
NPI age
11 years
Enumerated 2014-06-18
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bethea
Denitst/owner
Last NPPES update
2014-06-18
Source: monthly bulk 2026-05
How this organization compares
Across 539 active dentist providers in Georgia.
NPI age
11 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2014 → 2026
2014-06 Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
410 Lister St
Waycross, GA 315015226
📞 9122851218
Mailing address
410 Lister St
Waycross, GA 315015226
📞 9122851218
Authorized official
Donald Alan Bethea, D.D.S.
Denitst/owner
📞 9122851218
Individual providers at this organization
2 individual providers on file at this primary practice address.
Specialties
Dentist
Primary
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
GA license #DN011225 taxonomy 1223P0221X
Identifiers
Type Value Notes
05 (GA)
003143408A
05 (TN)
5440634
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 539 Dentist providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →
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.