OrganizationActive
Dental Center of Vidalia
NPI 1104044056 · General Practice Dentistry · Vidalia, GA
Dental Center of Vidalia is a General Practice Dentistry organization in Vidalia, GA (NPI 1104044056).
Provider details
- NPI number
- 1104044056
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Angie Waller, Financial Coordinator(912) 537-7048
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1209 East First Street
Vidalia, GA 30474
Phone: (912) 537-7048
Street-level locationGet directions
Mailing address
P.o. Box 524
Vidalia, GA 30475
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2020-08-22
Frequently asked questions
- What is Dental Center of Vidalia's NPI number?
- Dental Center of Vidalia's National Provider Identifier (NPI) is 1104044056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Center of Vidalia?
- Dental Center of Vidalia is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Dental Center of Vidalia located?
- Dental Center of Vidalia's practice location on file with NPPES is 1209 East First Street, Vidalia, GA 30474.
- What is Dental Center of Vidalia's phone number?
- The practice phone number listed in the NPPES registry for Dental Center of Vidalia is (912) 537-7048.
- Who is the authorized official for Dental Center of Vidalia?
- The authorized official listed on Dental Center of Vidalia's NPPES record is Angie Waller, Financial Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental Center of Vidalia's NPI active?
- Yes — Dental Center of Vidalia's NPI (1104044056) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.