P Praxis·MD
● 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
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-06Enumerated 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

TypeValueNotes
05 (GA) 003143408A
05 (TN) 5440634

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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