OrganizationActive
Azalea City Family Dentistry
NPI 1295978047 · General Practice Dentistry · Valdosta, GA
Azalea City Family Dentistry is a General Practice Dentistry organization in Valdosta, GA (NPI 1295978047).
Provider details
- NPI number
- 1295978047
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- William Broadfoot, Ceo(229) 244-3700
- License
- DN007995 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
414 Pendleton Pl
Valdosta, GA 31602-2603
Phone: (229) 244-3700
Fax: (229) 247-0373
Street-level locationGet directions
Mailing address
414 Pendleton Pl
Valdosta, GA 31602-2603
Registry dates
- Enumerated
- 2009-04-09
- Last updated
- 2009-04-09
Frequently asked questions
- What is Azalea City Family Dentistry's NPI number?
- Azalea City Family Dentistry's National Provider Identifier (NPI) is 1295978047, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Azalea City Family Dentistry?
- Azalea City Family Dentistry is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Azalea City Family Dentistry located?
- Azalea City Family Dentistry's practice location on file with NPPES is 414 Pendleton Pl, Valdosta, GA 31602-2603.
- What is Azalea City Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Azalea City Family Dentistry is (229) 244-3700.
- Who is the authorized official for Azalea City Family Dentistry?
- The authorized official listed on Azalea City Family Dentistry's NPPES record is William Broadfoot, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Azalea City Family Dentistry's NPI active?
- Yes — Azalea City Family Dentistry's NPI (1295978047) is active in the NPPES registry as of the last update on 2009-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.